Browsing by Author "Balthazary, Sakurani T"
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Item Cyanide in cassava varieties and people’s perception on cyanide poisoning in selected regions of Tanzania(Macrothink Institute, 2020) Mushumbusi, Cornelius B; Max, Robert A; Bakari, Gaymary G; Mushi, James R; Balthazary, Sakurani TCassava, an important food crop in the tropical regions of the world, is known to carry varying levels of cyanogenic glucosides that are potential poison to humans. In Tanzania, cases of cyanide poisoning have been reported in many cassava producing areas. This study was launched to quantify cyanide in fresh tubers of so called “sweet” cassava varieties and to gauge peoples’ perception on cyanide poisoning in Kagera and Morogoro regions. The study employed a questionnaire survey and a cross-sectional research design to identify different cassava varieties and their cyanide content using alkaline titration method. Findings showed that cyanide content in all of the analyzed tubers were above the internationally accepted levels in human consumables. Some sweet varieties were found to be wrongly classified as sweet because their cyanide content was above acceptable limits. For the same variety tubers sampled from a lowland area had significantly higher (P < 0.01) cyanide content than those from a highland point. It was also found that the upper (slippery) parenchymal tissue had more cyanide content (P < 0.05) than the inner tissue. Nearly 80% of the studied population was unaware of cyanide poisoning, its health effects and how to reduce cyanide content prior to consumption. It is concluded that consumption of raw cassava tubers can lead to undesirable health effects despite of some of them being categorized as sweet. The public should be sensitized on the issues of cyanide in cassava and should avoid consuming raw cassava tubers as preventive measures against cyanide poisoning.Item Drug resistance to sulphadoxine-pyrimethamine in Plasmodium falciparum malaria in Mlimba, Tanzania(Malaria Journal, 2006-10) Mbugi, Erasto V; Mutayoba, Benezeth M; Malisa, Allen L; Balthazary, Sakurani T; Nyambo, Thomas B; Mshinda, HassanBackground: Sulphadoxine-pyrimethamine (SP) has been and is currently used for treatment of uncomplicated Plasmodium falciparum malaria in many African countries. Nevertheless, the response of parasites to SP treatment has shown significant variation between individuals. Methods: The genes for dihydrofolate reductase (dhfr) and dihydropteroate synthase (dhps) were used as markers, to investigate parasite resistance to SP in 141 children aged less than 5 years. Parasite DNA was extracted by Chelex method from blood samples collected and preserved on filter papers. Subsequently, polymerase chain reaction (PCR) and restriction fragment length polymorphism (PCR-RFLP) were applied to detect the SP resistance-associated point mutations on dhfr and dhps. Commonly reported point mutations at codons 51, 59, 108 and 164 in the dhfr and codons 437, 540 and 581 in the dhps domains were examined. Results: Children infected with parasites harbouring a range of single to quintuple dhfr/dhps mutations were erratically cured with SP. However, the quintuple dhfr/dhps mutant genotypes were mostly associated with treatment failures. High proportion of SP resistance-associated point mutations was detected in this study but the adequate clinical response (89.4%) observed clinically at day 14 of follow up reflects the role of semi-immunity protection and parasite clearance in the population. Conclusion: In monitoring drug resistance to SP, concurrent studies on possible confounding factors pertaining to development of resistance in falciparum malaria should be considered. The SP resistance potential detected in this study, cautions on its useful therapeutic life as an interim firstline drug against malaria in Tanzania and other malaria-endemic countries.Item Multiplicity of infections and level of recrudescence in Plasmodium falciparum malaria in Mlimba, Tanzania(Academic Journals, 2006-09) Mbugi, Erasto V.; Mutayoba, Benezeth M; Balthazary, Sakurani T; Malisa, Allen L; Nyambo, Thomas B; Mshinda, HassanPolymorphism and antigenic variation are important biological survival strategies of malaria parasites determining the episode, outcome and implications of treatment interventions. In P. falciparum, polymorphic antigens are associated with the asexual blood-stage; merozoite surface protein 2 (MSP2). The MSP2 genes have been invaluable in post-treatment discrimination of parasite resurgence from new infection, especially in high transmission areas. We performed polymerase chain reaction (PCR) on DNA extracted from blood samples of 141 malaria-infected infants, followed by restriction fragment length polymorphism (RFLP) of PCR products. The findings showed multiplicity of infections of single to six infections with an average of 2.58 infections per patient. Single infections of either 3D7 or FC27 allelic families of the MSP2 gene occurred in 51 patients (50.5%) out of all PCR-RFLP successful samples (n = 101). Out of 15 (10.6%) follow up samples with resurgent parasitaemia, 3 (20%) samples had recrudescent infections while 12 (80%) had variable results. Our findings provide an insight on the prevalence of the genetic determinants of suphadoxine-pyrimethamine (SP) resistance in Mlimba during the study period, and in the face of rapidly spreading resistance, calls for the periodic surveillance in order to timely detect early warning signal of the deteriorating SP cure rate.