Northeastern Democratic Republic Of Congo Research Articles

The Knapping of Quartz Crystals during the Later Stone Age at Matupi Cave, Ituri Province, Democratic Republic of Congo

ABSTRACT Matupi Cave, located in the Ituri rainforest, northeastern Democratic Republic of Congo, has been long considered an early example of Later Stone Age quartz microlithism in equatorial Africa from >40,700 BP. We reassessed the lithic collection of Matupi to provide a new description of specific technical behaviors, namely, the use of quartz crystals. This newly described technical behavior can act as an anchor point for future micro-regional comparative studies of Later Stone Age quartz microlithic assemblages in the equatorial belt of Africa. The knapping of quartz crystals occurs before 25 ka BP and is observed until Holocene times. It reflects mainly bladelet production but also the manufacture of specific tool implements. Based on techno-functional and “chaîne opératoire” approaches, we describe the crystal extraction process and their use as core- and tool-blanks. We also characterize the flaking and retouch goals. Finally, we discuss our results in terms of technical convergences and techno-cultural continuity and we suggest a possible technological determinism in knapping possibilities due to crystals specific volumetric patterns.

Alboglossiphonia afroalpina sp. nov. and Alboglossiphonia buniana sp. nov. – two new leech species from Africa and revision of the genus Alboglossiphonia Lukin, 1976 in Africa

Two new leech species from Africa are presented. The position of the eyes, the number of crop caeca and the gonopores separated by two annuli indicate that both belong to the genus Alboglossiphonia. Alboglossiphonia afroalpinasp. nov. differs from the other African species in its elongated body shape, the shape and size of the suckers and above all by the unique spotting on the dorsal side, which is not found in any other species of the genus. Alboglossiphonia afroalpinasp. nov. inhabits the alpine zones of the Mt. Kenya and Mt. Elgon massifs and represents the highest record of a leech in Africa to date, approx 4,500 m above sea level. Alboglossiphonia buniana sp. nov. differs from other species of the genus by its completely fused pairs of eyes, the shape and size of the cranial sucker and the head area and a jagged outer margin. The species is only known from Bunia in northeastern Democratic Republic of Congo. Eleven species of the genus Alboglossiphonia are known from Africa, belonging to different zoogeographical areas. Northwest Africa is home to Alboglossiphonia hyalina (O.F. Müller, 1774) and A. iberica Jueg, 2008 as Palaearctic species. Alboglossiphonia polypompholyx Oosthuizen, Hussein & El-Shimy, 1988, A. disuqi El-Shimy, 1990 and A. levis Gouda, 2010 are restricted to the lower reaches of the Nile in Egypt. Six species exist south of the Sahara: Alboglossiphonia namaquaensis (Augener, 1936), A. disjuncta (Moore, 1939), A. conjugata (Oosthuizen, 1978), A. macrorhyncha (Oosthuizen, 1978) as well as those described here, A. afroalpinasp. nov. and A. bunianasp. nov. The examination of the three syntypes of Alboglossiphonia namaquaensis (Augener, 1936) showed that this species is identical to A. cheili (Oosthuizen 1978) and that the latter must be used as a synonym in future. Historical evidence from the Central Africa Museum in Tervuren (Belgium) from the Sciacchitano Collection and the British Museum of Natural History was examined. The systematic position of Glossiphonia verrucata Sciacchitano, 1939 was also clarified. Almost all species were photographed for the first time, most of them including their holotype. Distribution maps are presented for all species. All African Alboglossiphonia species are compared in terms of their characteristics in tabular form.

Diversity and Distribution of Whiteflies Colonizing Cassava in Eastern Democratic Republic of Congo.

Simple SummaryWe report here the first detailed characterization of Bemisia whiteflies on cassava in eastern Democratic Republic of Congo (DRC). Bemisia tabaci transmits viruses responsible for devastating epidemics of cassava mosaic and brown streak diseases. KASP SNP genotyping of B. tabaci specimens collected from cassava in revealed the existence of four haplogroups, while phylogenetic analysis of mitochondrial COI sequences showed the presence of two major clusters of B. afer. This study provides important information on the genetic diversity of B. tabaci and B. afer in eastern DRC and emphasizes the need for continuous monitoring of whitefly populations on cassava to guide the strategic application of management practices that reduce the impact of cassava virus diseases throughout DRC and the wider Central Africa region.The present study characterizes Bemisia tabaci and Bemisia afer from cassava in eastern Democratic Republic of Congo (DRC). The Mitochondrial COI sequencing revealed the occurrence of six cassava B. tabaci mitotypes, which were designated into four haplogroups (SSA-ECA, SSA-CA, SSA2, and SSA-ESA) using KASP SNP genotyping. SSA-ECA (72%) was the most prevalent and occurred in the northern part of the surveyed area, in the Ituri and Nord/Sud-Kivu provinces, whilst SSA-CA (21%) was present in the south, primarily in Haut-Katanga. SSA-ECA was predominant in the areas of north-eastern DRC most severely affected by cassava brown streak disease and was also reported in the new outbreak area in Pweto territory, Haut-Katanga, in the south. Bemisia afer comprised two major clusters with 85.5% of samples in cluster one, while the rest were in cluster two, which has no reference sequence in GenBank. This study provides important information on the genetic diversity of B. tabaci and B. afer in eastern DRC. This knowledge will be used as a basis for further studies to understand and to identify the role of whitefly haplogroups, their population densities and consequences for virus epidemics and spread as well as leading to improved vector and virus management strategies.

Renal Abnormalities among Sickle Cell Disease Patients in a Poor Management Setting: A Survey in the Democratic Republic of the Congo.

Background and objectiveSickle cell disease (SCD) is now a well-established cause of renal damage. In the northeast of the Democratic Republic of Congo (DRC), SCD is common. However, sickle cell nephropathy remains unstudied in this region. Thus, this study aimed to assess renal abnormalities in SCD patients in Kisangani (northeastern DRC).MethodsThis cross-sectional study included 98 sickle cell patients selected from six health facilities in Kisangani and 89 healthy non-sickle cell subjects as the control group. Based on a survey form, a clinical examination and biological tests were performed to collect data related to the sex, age, weight, height, pressure, serum creatinine, serum uric acid, urinary albumin/creatinine ratio, and hemoglobin phenotype. We used a spectrophotometer to measure serum creatinine and uricemia, the sickle SCAN® device for hemoglobin phenotype, and an automatic multifunction analyzer for urine albumin/creatinine ratio. Data were entered into an Excel file and analyzed on SPSS 20.0.ResultsThe mean urine albumin-to-creatinine ratio was 11.79±9.03 mg/mmol in SCD patients, significantly higher than in AA (1.69±1.89 mg/mmol) and AS (2.97±4.46 mg/mmol) subjects. The decrease in glomerular filtration rate was more observed in SCD patients with hyperuricemia compared to those with normal uric acid levels. A significantly elevated prevalence of chronic kidney disease was observed among SCD patients (87.8%) compared to 23.8% in AS and 7.7% in AA subjects.ConclusionsThis study highlighted that albuminuria and chronic kidney disease are common in SCD patients in Kisangani. More studies are needed to further document these complications.

Epidemiology of Schistosoma mansoni infection in Ituri Province, north-eastern Democratic Republic of the Congo.

BackgroundSchistosomiasis, caused by Schistosoma mansoni, is of great significance to public health in sub–Saharan Africa. In the Democratic Republic of Congo (DRC), information on the burden of S. mansoni infection is scarce, which hinders the implementation of adequate control measures. We assessed the geographical distribution of S. mansoni infection across Ituri province in north-eastern DRC and determined the prevailing risk factors.Methods/Principal findingsTwo province–wide, community–based studies were conducted. In 2016, a geographical distribution study was carried out in 46 randomly selected villages across Ituri. In 2017, an in–depth study was conducted in 12 purposively–selected villages, across the province. Households were randomly selected, and members were enrolled. In 2016, one stool sample was collected per participant, while in 2017, several samples were collected per participant. S. mansoni eggs were detected using the Kato–Katz technique. In 2017, a point–of–care circulating cathodic S. mansoni antigen (POC–CCA) urine test was the second used diagnostic approach. Household and individual questionnaires were used to collect data on demographic, socioeconomic, environmental, behavioural and knowledge risk factors.Of the 2,131 participants in 2016, 40.0% were positive of S. mansoni infection. Infection prevalence in the villages ranged from 0 to 90.2%. Of the 707 participants in 2017, 73.1% were tested positive for S. mansoni. Prevalence ranged from 52.8 to 95.0% across the health districts visited. Infection prevalence increased from north to south and from west to east. Exposure to the waters of Lake Albert and the villages’ altitude above sea level were associated with the distribution.Infection prevalence and intensity peaked in the age groups between 10 and 29 years. Preschool children were highly infected (62.3%). Key risk factors were poor housing structure (odds ratio [OR] 2.1, 95% 95% confidence interval [CI] 1.02–4.35), close proximity to water bodies (OR 1.72, 95% CI 1.1–2.49), long-term residence in a community (OR 1.41, 95% CI 1.11–1.79), lack of latrine in the household (OR 2.00, 95% CI 1.11–3.60), and swimming (OR 2.53, 95% CI 1.20–5.32) and washing (OR 1.75, 95% CI 1.10–2.78) in local water bodies.Conclusions/SignificanceOur results show that S. mansoni is highly endemic and a major health concern in Ituri province, DRC. Infection prevalence and intensity, and the prevailing socioeconomic, environmental, and behavioural risk factors in Ituri reflect intense exposure and alarming transmission rates. A robust plan of action is urgently needed in the province.

Geologic-tectonic setting of the gold-endowed Kilo Terrane in the eastern Central Kibalian Superterrane, northeastern Democratic Republic of Congo

Solid geological mapping, granite geochemistry and robust U-Pb SHRIMP geochronology confirm our subdivision of the eastern Central Kibalian Superterrane (ECKS) into two terranes: the ca 2570–2552 Ma Western Ituri Terrane and the ca 2680–2570 Ma Kilo Terrane. The ECKS is part of the Central, Northern and Southern Kibalian Superterranes, first-order interpretative crustal blocks, which constitutes the Kibalian Greenstone Region in the Bomu-Kibalian craton. The Kilo Terrane comprises: 1) the lower Kibalian lithostratigraphic units of deep-sea facies mafic–ultramafic volcanic rocks, interlayers of pelitic-sedimentary rocks and mafic granite and diorite-tonalite complexes in the Galaya-Kilo Sub-Terrane; and 2) the upper Kibalian lithostratigraphic units of intermediate-felsic volcanic-sedimentary, mafic–ultramafic intrusive rocks and widespread quartz-dioritic, tonalitic to granodioritic granites in the Balazana-Bunia Sub-Terrane.Mafic granite and diorite-to-tonalite magmatism in the Kilo Terrane is demonstrated by: 1) the ca 2680–2640 Ma syn-volcanic mafic-dioritic granite magmatism, including the ca 2650–2640 Ma albitic granites extensive in the Nizi-Tsi Belt; 2) the ca 2640–2600 Ma syn-volcanic hornblende tonalite-to-granodiorite magmatism in the Kilo and Moto-Zani Terranes; and 3) a ca 2600–2570 Ma syenite, quartz-monzonite and felsic granite intrusions along extensional zones and reactivated major terrane boundaries. The coincidence between the ca 2603 Ma tectonic uplifting and ca 2605–2590 Ma hydrothermal activity in the Kilo Terrane is associated with the gold mineralization.The 2711–2790 Ma xenocryst ages point to potential existence of the > 2790 Ma basement rocks extending from underneath the Western Ituri Terrane into underneath the Bunia West Domain. It’s absence in the gold-hosting domains of the Kilo Terrane does not exclude the existence of > 2.8 Ga basement, but instead it invokes on the existence of an unconformity separating the basement rocks from rootless, ca 2680–2570 Ma complexly folded and faulted juvenile granite-greenstone domains, sutured together by first- to second-order fault/shear zones. Protracted periods of Archean to post-Archean tectonic uplifting and inversion were responsible for preservations and erosion of upper crustal-level granite greenstone belts, including orogenic gold depositsThe ca 2680–2570 Ma juvenile crustal addition in the Kilo Terrane occurred some 30 m.y. after the ca 2850–2600 Ma juvenile crustal addition events in well-researched Archean cratons, worldwide.

Patients with severe schistosomiasis mansoni in Ituri Province, Democratic Republic of the Congo

BackgroundSevere hepatosplenic complications arise in patients with chronic Schistosoma mansoni infection after heavy exposure to disease agents in endemic areas. These complications are rarely reported and, hence, underestimated.Case presentationWe report on eight patients with severe morbidity associated with S. mansoni infection in Ituri Province, northeastern Democratic Republic of Congo (DRC). The patients were identified during a community-based survey in 2017; one patient was seen at the district hospital. After taking the patients’ history, a clinical examination and an abdominal ultrasonographical examination were performed. S. mansoni infection was diagnosed in fecal (Kato-Katz technique) and urine (point-of-case circulating cathodic antigen test) samples. These eight patients with severe intestinal and hepatosplenic complications were identified from four villages with high S. mansoni infection prevalence and related morbidity. The patients’ ages ranged from 19 to 57 years; four patients were women. Three patients reported hematemesis. Two patients were severely anemic. All patients reported non-specific abdominal symptoms, such as diarrhea (six patients), abdominal pain (seven patients), and blood in the stool (five patients), as well as weight loss (two patients). Abdominal ultrasonography revealed ascites in four patients. All patients had portal hypertension with hepatomegaly (seven patients) or splenomegaly (five patients). Of the six patients with a discernable liver parenchyma pattern, five displayed pattern F and three patient displayed pattern E. Liver parenchyma was not visible for two patients with severe ascites. An S. mansoni infection was confirmed in six patients, with infection intensity ranging from light to heavy. All S. mansoni positive patients were treated with praziquantel (40 mg/kg body weight) and referred to the district hospital for follow-up. One patient with severe ascites died two weeks after we saw her. Due to security and accessibility reasons, the villages could not be visited again and the patients were lost to follow-up.ConclusionsOur observations of patients with severe schistosomiasis document the severe degree of endemicity of S. mansoni in the province and suggest an urgent need for adequate schistosomiasis control measures that target vulnerable population groups and address severe complications.

Substandard and Falsified Antibiotics and Medicines against Noncommunicable Diseases in Western Cameroon and Northeastern Democratic Republic of Congo.

.Falsified and substandard medicines may undermine the progress toward the Sustainable Development Goals. The present study investigated the quality of 13 essential medicines in Cameroon and the Democratic Republic of Congo (DR Congo). Five hundred six medicine samples were collected from the government and faith-based health facilities, private pharmacies, and informal vendors (total 60 facilities). Collected samples were analyzed according to the U.S. Pharmacopeia (USP) for identity, content, and dissolution of their active pharmaceutical ingredients (APIs) and for uniformity of dosage units. Three samples (0.6%) were identified as falsified. Overall, 8.5% of the samples failed USP specifications for the content of the API and 11.7% failed dissolution testing. Medicines from informal vendors showed a higher out-of-specification rate (28.2%) than other types of drug outlets (12.3%; P < 0.0001). All three falsified medicines had been sold by informal vendors. The failure rate of medicines stated to be produced in Europe (5.1%) was lower than that for medicines from Asia (17.7%; P = 0.0049) and Africa (22.2%; P = 0.0042). Medicines against noncommunicable diseases showed a higher failure rate than antibiotics (25.3% versus 12.1%; P = 0.0004). Four hundred fifty-one of the samples were analyzed in Cameroon and the DR Congo with the Global Pharma Health Fund Minilab (thin-layer chromatography and disintegration testing). The three falsified medicines were readily detected in Minilab analysis. However, substandard samples were detected with low sensitivity. A well-enforced ban of medicine sales by informal vendors and increased attention to supplier qualification in the procurement process may reduce the prevalence of substandard and falsified medicines.

Projections of epidemic transmission and estimation of vaccination impact during an ongoing Ebola virus disease outbreak in Northeastern Democratic Republic of Congo, as of Feb. 25, 2019.

BackgroundAs of February 25, 2019, 875 cases of Ebola virus disease (EVD) were reported in North Kivu and Ituri Provinces, Democratic Republic of Congo. Since the beginning of October 2018, the outbreak has largely shifted into regions in which active armed conflict has occurred, and in which EVD cases and their contacts have been difficult for health workers to reach. We used available data on the current outbreak, with case-count time series from prior outbreaks, to project the short-term and long-term course of the outbreak.MethodsFor short- and long-term projections, we modeled Ebola virus transmission using a stochastic branching process that assumes gradually quenching transmission rates estimated from past EVD outbreaks, with outbreak trajectories conditioned on agreement with the course of the current outbreak, and with multiple levels of vaccination coverage. We used two regression models to estimate similar projection periods. Short- and long-term projections were estimated using negative binomial autoregression and Theil-Sen regression, respectively. We also used Gott’s rule to estimate a baseline minimum-information projection. We then constructed an ensemble of forecasts to be compared and recorded for future evaluation against final outcomes. From August 20, 2018 to February 25, 2019, short-term model projections were validated against known case counts.ResultsDuring validation of short-term projections, from one week to four weeks, we found models consistently scored higher on shorter-term forecasts. Based on case counts as of February 25, the stochastic model projected a median case count of 933 cases by February 18 (95% prediction interval: 872–1054) and 955 cases by March 4 (95% prediction interval: 874–1105), while the auto-regression model projects median case counts of 889 (95% prediction interval: 876–933) and 898 (95% prediction interval: 877–983) cases for those dates, respectively. Projected median final counts range from 953 to 1,749. Although the outbreak is already larger than all past Ebola outbreaks other than the 2013–2016 outbreak of over 26,000 cases, our models do not project that it is likely to grow to that scale. The stochastic model estimates that vaccination coverage in this outbreak is lower than reported in its trial setting in Sierra Leone.ConclusionsOur projections are concentrated in a range up to about 300 cases beyond those already reported. While a catastrophic outbreak is not projected, it is not ruled out, and prevention and vigilance are warranted. Prospective validation of our models in real time allowed us to generate more accurate short-term forecasts, and this process may prove useful for future real-time short-term forecasting. We estimate that transmission rates are higher than would be seen under target levels of 62% coverage due to contact tracing and vaccination, and this model estimate may offer a surrogate indicator for the outbreak response challenges.

First Report of Mixed Infection of Cassava Brown Streak Virus and Ugandan Cassava Brown Streak Virus on Cassava in North-eastern Democratic Republic of Congo

First Report of Mixed Infection of Cassava Brown Streak Virus and Ugandan Cassava Brown Streak Virus on Cassava in North-eastern Democratic Republic of Congo

Seroprevalence of hepatitis B and C virus infections among diabetic patients in Kisangani (North-eastern Democratic Republic of Congo).

IntroductionThe link between diabetes mellitus and hepatitis B and C Virus infections has not yet been studied in the Democratic Republic of Congo, a country where diabetes mellitus is a growing disease and the prevalence of hepatitis B and C viruses infections is high. The aim of this study was to determine the seroprevalence of these viruses in diabetic patients.MethodsWe conducted a descriptive cross-sectional study in diabetic subjects attending Kisangani University Clinics and General Hospitals of Kisangani City as well as the Diabetics Association of Oriental Province. The control group consisted of volunteer blood donors recruited from the Kisangani Provincial Blood Transfusion Center. Blood glucose was measured with the spectrophotometer; for hepatitis B and hepatitis C viruses serology, we used rapid test kits (Determine TM® HBsAg and Hexagon® HCV test) and ELISA if seropositivity by rapid tests. The analysis was done by SPSS software.ResultsSeroprevalence of hepatitis C virus in diabetics was 24.8% compared to 1.9% in volunteer blood donors (p = 0.0000); that of hepatitis B virus was 3.4% versus 3.5% in volunteer blood donors (p = 0.906). Hepatitis C virus infection was more common in type 2 diabetics (p = 0.006) and significantly associated with age of diabetic patients (p = 0.002).ConclusionThe seroprevalence of hepatitis C virus and not hepatitis B virus infection is significantly high in diabetic subjects, particularly type 2 diabetics, in the Democratic Republic of Congo and suggests systematic screening for this infection in any diabetic patient.

Assessment of simulated rainfall and temperature from the regional climate model REMO and future changes over Central Africa

This work investigates spatial and temporal changes in rainfall and temperature over Central Africa, using historical and representative concentration pathways (RCP2.6, RCP4.5 and RCP8.5) of the regional climate model REMO forced by two general climate models: the Europe-wide Consortium Earth System Model (EC-Earth) and the Max Planck Institute-Earth System Model (MPI-ESM). We found that in the present period (1980–2005), the spatial distribution of rainfall is simulated with an annual spatial pattern correlation coefficient (PCC) of 0.76 for REMO driven by EC-Earth and 0.74 for REMO driven by MPI-ESM respectively when compared to CRU data. In terms of temperature, the annual PCC is 0.93 for the two REMO outputs. According to the climatology of Central Africa, we subdivided the study area into five sub-regions, we also noticed that the annual and seasonal PCC depend on the considered sub-region. For the future period (2070–2095), temperature is projected to increase following all the three scenarios. The rainfall amount is projected to decrease by up to 5 mm/day towards the end of the twenty first century under RCP8.5 scenario, and by 1–2 mm/day under RCP4.5 and RCP2.6 scenarios over Equatorial Guinea, Gabon, Congo, north-western Democratic Republic of Congo (DRC) and the Lake Victoria. Significant decrease is predicted to occur mostly in the northern part of the domain under RCP8.5 scenario. However, future rainfall over High Lands of Cameroon, Adamawa Plateau, north-eastern DRC and Atlantic Ocean is projected to increase.

Challenges of controlling sleeping sickness in areas of violent conflict: experience in the Democratic Republic of Congo

BackgroundHuman African trypanosomiasis (HAT), or sleeping sickness, is a fatal neglected tropical disease if left untreated. HAT primarily affects people living in rural sub-Saharan Africa, often in regions afflicted by violent conflict. Screening and treatment of HAT is complex and resource-intensive, and especially difficult in insecure, resource-constrained settings. The country with the highest endemicity of HAT is the Democratic Republic of Congo (DRC), which has a number of foci of high disease prevalence. We present here the challenges of carrying out HAT control programmes in general and in a conflict-affected region of DRC. We discuss the difficulties of measuring disease burden, medical care complexities, waning international support, and research and development barriers for HAT.DiscussionIn 2007, Médecins Sans Frontières (MSF) began screening for HAT in the Haut-Uélé and Bas-Uélé districts of Orientale Province in northeastern DRC, an area of high prevalence affected by armed conflict. Through early 2009, HAT prevalence rate of 3.4% was found, reaching 10% in some villages. More than 46,000 patients were screened and 1,570 treated for HAT during this time. In March 2009, two treatment centres were forced to close due to insecurity, disrupting patient treatment, follow-up, and transmission-control efforts. One project was reopened in December 2009 when the security situation improved, and another in late 2010 based on concerns that population displacement might reactivate historic foci. In all of 2010, 770 patients were treated at these sites, despite a limited geographical range of action for the mobile teams.SummaryIn conflict settings where HAT is prevalent, targeted medical interventions are needed to provide care to the patients caught in these areas. Strategies of integrating care into existing health systems may be unfeasible since such infrastructure is often absent in resource-poor contexts. HAT care in conflict areas must balance logistical and medical capacity with security considerations, and community networks and international-response coordination should be maintained. Research and development for less complicated, field-adapted tools for diagnosis and treatment, and international support for funding and program implementation, are urgently needed to facilitate HAT control in these remote and insecure areas.

Dual infection by cassava begomoviruses in two leguminous species (Fabaceae) in Yangambi, Northeastern Democratic Republic of Congo

A study on cassava mosaic begomoviruses was conducted around Yangambi (DR Congo) by sampling 10 different leguminous species with or without symptoms similar to cassava mosaic disease. DNA was isolated to amplify CMBs using primers targeting AC2 and AC4 genes for virus detection by PCR. The results showed a dual infection by ACMV and EACMV in two weed species, Centrosema pubescens and Pueraria javanica, associated with mosaic symptoms. The DNA-A genome component of ACMV and EACMV from the infested weeds was sequenced. Seven ACMV and four EACMV isolates are reported. The major ACMV strains were closely related to ACMV-NGogo, ACMV-IC and ACMV-UGMld, whereas all EACMV strains were closely related to a Uganda variant, the most prevalent virus. This study shows that whiteflies may transmit CMBs to non-cassava plants under high epidemic pressure.

Performing Acupuncture on a Necropolitical Body: Choreographer Faustin Linyekula's Studios Kabako in Kisangani, Democratic Republic of Congo

Faustin Linyekula stages what I shall call “geo-choreography” in the Democratic Republic of Congo (DRC). What is choreography if not an embodied practice that demands a continual reordering of space? Geo-choreography reorders the urban landscape choreographically without colonizing it. Instead, it establishes a network of architectural sites within that landscape whose effect I shall endeavor to describe in this essay. In 1993 Congolese choreographer Linyekula went into exile for eight years, during which time he attended university in Kenya and studied theater in London, only to be pressured by the British government to return to Kenya, where he was introduced to dance theater. In 2001 Linyekula returned to the DRC, where he founded his contemporary dance company, Studios Kabako, in Kinshasa, the country's capital. Working out of both Kinshasa and Paris, Linyekula established an international career as an experimental dance maker. After five years (in 2006) he transferred his company from Kinshasa to his hometown, Kisangani. Located in the northeastern DRC, this haunted urban terrain has been devastated by political violence, including that of the Second Congo War (1998–2003) and its aftermath. In trying to rediscover a sense of belonging for himself and for others, Linyekula is presently designing a network of studios for emerging artists throughout Kisangani. Linyekula's dance company and network of studios taken together, and housed under the same name of Studios Kabako, encourage a fluid movement between the social and the artistic.

Bartonellaspp. andRickettsia felisin Fleas, Democratic Republic of Congo

<i>Bartonella</i>spp. and<i>Rickettsia felis</i>in Fleas, Democratic Republic of Congo

The taxonomic and conservation status of Chapin’s Crombec Sylvietta (leucophrys) chapini

Summary. Chapin’s Crombec Sylvietta leucophrys chapini is only known from three specimens collected in the 1940s on the Lendu Plateau, north-eastern Democratic Republic of Congo. Although originally described as a species, it has since commonly been treated as a subspecies of White-browed Crombec S. leucophrys. In a number of recent works, however, it has again been recognised specifically, thus prompting this review of its status. The head of chapini is uniformly bright chestnut and lacks the conspicuous white eyebrow of the other two races of S. leucophrys. Apart from the brown head being somewhat brighter in chapini, it otherwise closely resembles leucophrys and, in the absence of vocal evidence, we believe the taxon is best retained as a distinct subspecies. Obtaining such evidence will be problematic: not only does continuing civil unrest in the region prevent any field work, but there is also doubt as to whether chapini still exists, as it is feared forest clearance on Lendu may have led to its extinction. Information from the mid 1990s indicated that some forest did then remain but further work, when circumstances permit, is urgently needed as, irrespective of its taxonomic rank, Chapin’s Crombec strongly merits conservation.

Congenital malformations in the North-Eastern Democratic Republic of Congo during civil war

To report on changes in the incidence of congenital malformations in a context of an ongoing civil conflict. Retrospective study. Centre Médical Evangélique (CME) of Nyankunde, a 250 bed referral hospital, in the North Eastern Democratic Republic of Congo (DRC) during the period 1993 to 2001. A total of 8824 babies were delivered alive at our maternity; and 36 of them (0.41%) were born with a clinically diagnosed congenital malformations. The breakdown of the observed malformations was as follow: clubbed foot nine, congenital hydrocephalus eight, spina bifida six, cleft lip four, encephalocele two, syndactyly two, imperforated anus two, Anencephaly one, lymphangioma one, bladder exstrophy one. There was a significant increase in the annual incidence of congenital malformations (p<0.001). Ongoing civil conflicts or wars ultimately have a negative impact on the incidence of congenital malformations. This is an indirect and multifactorial consequence. We conclude that ongoing civil conflict is a contributing factor to the increasing incidence of congenital malformations seen in the North-Eastern DRC.

Pygmy Populations Seronegative for Marburg Virus

Pygmy Populations Seronegative for Marburg Virus