Browsing by Author "Namkinga, Lucy A"

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    Absence of Germline BRCA1 c.68_69delAG and c.5266dupC Mutations among Hormone Receptor-negative Breast Cancer Patients: A First Impression at a Tertiary Cancer-care Facility in Tanzania
    (University of Dar es Salaam, 2021-12-29) Rweyemamu, Linus P; Akan, Gokce; Mbotwa, Christopher H; Dharsee, Nazima; Namkinga, Lucy A; Lyantagaye, Sylvester L; Mselle, Ted F; Atalar, Fatmahan
    The germline BRCA1 c.68_69delAG (185delAG) and c.5266dupC (5382insC) mutations are associated with hormone receptor-negative breast cancer (BC). Limited studies have examined their contribution to alarming BC incidence in Sub Saharan Africa (SSA). Our study aimed to examine the contribution of germline BRCA1 c.68_69delAG and c.5266dupC mutations to BC incidence among hormone receptor-negative BC patients admitted to Ocean Road Cancer Institute in Tanzania. Face-to-face interviews were conducted to capture socio-demographic characteristics, anthropometric measurements, family history of cancer and reproductive information from each patient. Their histopathological data were extracted from the hospital medical records. The germline BRCA1 founder mutations were analyzed on blood samples using Sanger sequencing technology. The patients mean age at diagnosis was 47.05 ± 12.82 years. A family history of cancer was observed in 13.6% of patients. The germline BRCA1 c.68_69delAG and c.5266dupC mutations were not detected in the study group. Our findings indicate that the germline BRCA1 c.68_69delAG and c.5266dupC mutations do not contribute to BC manifestation in hormone receptor-negative BC patients in Tanzania. Thus, screening BC patients for these mutations has no clinical relevance. Our data further suggest that the c.68_69delAG and the c.5266dupC mutations should not be considered when developing genetic testing guidelines in Tanzania.
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    Co-variation of Cholera with Climatic and Environmental Parameters in Coastal Regions of Tanzania
    (2014-01) Lugomela, Charles; Lyimo, Thomas J.; Namkinga, Lucy A; Moyo, Sabrina; Goerricke, Ralf; Sjöling, Sara
    The bacterium causing cholera, Vibrio cholerae, is essentially a marine organism and its ecological dynamics have been linked to oceanographic conditions and climate. We used autoregressive models with external inputs to identify potential relationships between the number of cholera cases in the coastal regions of mainland Tanzania with climatic and environmental indices (maximum air temperature, sea surface temperature, wind speed and chlorophyll a). Results revealed that, between 2004 and 2010, coastal regions of mainland Tanzania inhabited by approximately 21% of the total population accounted for approximately 50% of the cholera cases and 40% of the total mortality. Significant co-variations were found between seasonally adjusted cholera cases and coastal ocean chlorophyll a and, to some degree, sea surface temperature, the outbreaks lagging behind by one to four months. Cholera cases in Dar es Salaam were also weakly related to the Indian Ocean Dipole Mode Index, lagging by five months, suggesting that it may be possible to predict cholera outbreaks for Dar es Salaam this period ahead. The results also suggest that the severity of cholera in coastal regions can be predicted by ocean conditions and that longer-term environmental and climate parameters may be used to predict cholera outbreaks along the coastal regions.