Mass drug administration significantly reduces infection of Schistosoma mansoni and hookworm in school children in the national control program in Sierra Leone
Identifieur interne : 003290 ( Main/Exploration ); précédent : 003289; suivant : 003291Mass drug administration significantly reduces infection of Schistosoma mansoni and hookworm in school children in the national control program in Sierra Leone
Auteurs : Mary H. Hodges [Sierra Leone] ; Nsa Dada [Royaume-Uni] ; Anna Warmsley [Royaume-Uni] ; Jusufu Paye [Sierra Leone] ; Momodu M. Bangura [Sierra Leone] ; Emanuel Nyorkor [Sierra Leone] ; Mustapha Sonnie [Sierra Leone] ; Yaobi Zhang [Sénégal]Source :
- BMC Infectious Diseases [ 1471-2334 ] ; 2012.
Abstract
The first-ever round of school-based mass drug administration (MDA) with praziquantel together with mebendazole targeting school-aged children in endemic districts was conducted in 2009 by the National Neglected Tropical Diseases Control Program. To evaluate the impact of the treatment regimen, a cross-sectional sentinel site survey was conducted 6 months post-MDA.
Fifteen sentinel schools from six highly endemic districts (according to data from national and pre-MDA surveys) with
The overall prevalence (and intensity) in these sentinel sites pre-MDA of
Significant reduction in
Url:
DOI: 10.1186/1471-2334-12-16
PubMed: 22264258
PubMed Central: 3282666
Affiliations:
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Le document en format XML
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<author><name sortKey="Zhang, Yaobi" sort="Zhang, Yaobi" uniqKey="Zhang Y" first="Yaobi" last="Zhang">Yaobi Zhang</name>
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<series><title level="j">BMC Infectious Diseases</title>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>The first-ever round of school-based mass drug administration (MDA) with praziquantel together with mebendazole targeting school-aged children in endemic districts was conducted in 2009 by the National Neglected Tropical Diseases Control Program. To evaluate the impact of the treatment regimen, a cross-sectional sentinel site survey was conducted 6 months post-MDA.</p>
</sec>
<sec><title>Methods</title>
<p>Fifteen sentinel schools from six highly endemic districts (according to data from national and pre-MDA surveys) with <italic>Schistosoma mansoni </italic>
affecting over 50% of the population, and moderate to high prevalence of hookworms (> 20%). Approximately 30 children aged 9-14 years were selected from each school and stool samples (one per student) were examined by the Kato-Katz method.</p>
</sec>
<sec><title>Results</title>
<p>The overall prevalence (and intensity) in these sentinel sites pre-MDA of <italic>S. mansoni </italic>
was 69.0% (170.8 epg), hookworm: 41.7% (71.7 epg), <italic>Ascaris lumbricoides: 1.8% </italic>
and <italic>Trichuris trichiura: 3.8%</italic>
. Six months post MDA, the findings were <italic>S. mansoni</italic>
: 38.2% (47.3 epg) and hookworm: 14.5% (8.7 epg), representing a reduction from pre-MDA levels of 44.6% (65.2%) and 72.3% (87.9%) respectively. The proportion of children who were moderately or heavily infected with <italic>S. mansoni </italic>
fell from 35.6% pre MDA to 9.9% post MDA.</p>
</sec>
<sec><title>Conclusions</title>
<p>Significant reduction in <italic>S. mansoni </italic>
and hookworm infection was achieved by this first round MDA in school-going children in Sierra Leone. This reduction in infection burden can potentially contribute to a reduction of morbidity, such as anaemia, in these children.</p>
</sec>
</div>
</front>
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<author><name sortKey="Tukahebwa, Em" uniqKey="Tukahebwa E">EM Tukahebwa</name>
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<author><name sortKey="Stothard, Jr" uniqKey="Stothard J">JR Stothard</name>
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<author><name sortKey="Donnelly, Ca" uniqKey="Donnelly C">CA Donnelly</name>
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<author><name sortKey="Webster, Jp" uniqKey="Webster J">JP Webster</name>
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<author><name sortKey="Toure, S" uniqKey="Toure S">S Toure</name>
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<author><name sortKey="Bosque Oliva, E" uniqKey="Bosque Oliva E">E Bosque-Oliva</name>
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<author><name sortKey="Zhang, Y" uniqKey="Zhang Y">Y Zhang</name>
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<author><name sortKey="Sellin, B" uniqKey="Sellin B">B Sellin</name>
</author>
<author><name sortKey="Donnelly, Ca" uniqKey="Donnelly C">CA Donnelly</name>
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<author><name sortKey="Fenwick, A" uniqKey="Fenwick A">A Fenwick</name>
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<author><name sortKey="Webster, Jp" uniqKey="Webster J">JP Webster</name>
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</author>
<author><name sortKey="Brooker, S" uniqKey="Brooker S">S Brooker</name>
</author>
<author><name sortKey="Koukounari, A" uniqKey="Koukounari A">A Koukounari</name>
</author>
<author><name sortKey="Kazibwe, F" uniqKey="Kazibwe F">F Kazibwe</name>
</author>
<author><name sortKey="Tukahebwa, Em" uniqKey="Tukahebwa E">EM Tukahebwa</name>
</author>
<author><name sortKey="Fleming, Fm" uniqKey="Fleming F">FM Fleming</name>
</author>
<author><name sortKey="Zhang, Y" uniqKey="Zhang Y">Y Zhang</name>
</author>
<author><name sortKey="Webster, Jp" uniqKey="Webster J">JP Webster</name>
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</author>
<author><name sortKey="Fenwick, A" uniqKey="Fenwick A">A Fenwick</name>
</author>
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<author><name sortKey="Koukounari, A" uniqKey="Koukounari A">A Koukounari</name>
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<author><name sortKey="Kabatereine, N" uniqKey="Kabatereine N">N Kabatereine</name>
</author>
<author><name sortKey="Fleming, F" uniqKey="Fleming F">F Fleming</name>
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<author><name sortKey="Kazibwe, F" uniqKey="Kazibwe F">F Kazibwe</name>
</author>
<author><name sortKey="Tukahebwa, E" uniqKey="Tukahebwa E">E Tukahebwa</name>
</author>
<author><name sortKey="Stothard, Jr" uniqKey="Stothard J">JR Stothard</name>
</author>
<author><name sortKey="Webster, Jp" uniqKey="Webster J">JP Webster</name>
</author>
<author><name sortKey="Fenwick, A" uniqKey="Fenwick A">A Fenwick</name>
</author>
</analytic>
</biblStruct>
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<author><name sortKey="Bosque Oliva, E" uniqKey="Bosque Oliva E">E Bosque-Oliva</name>
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<author><name sortKey="Zhang, Y" uniqKey="Zhang Y">Y Zhang</name>
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</biblStruct>
<biblStruct><analytic><author><name sortKey="Shaw, C" uniqKey="Shaw C">C Shaw</name>
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<author><name sortKey="Su, Z" uniqKey="Su Z">Z Su</name>
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</analytic>
</biblStruct>
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</div1>
</back>
</TEI>
<affiliations><list><country><li>Royaume-Uni</li>
<li>Sierra Leone</li>
<li>Sénégal</li>
</country>
</list>
<tree><country name="Sierra Leone"><noRegion><name sortKey="Hodges, Mary H" sort="Hodges, Mary H" uniqKey="Hodges M" first="Mary H" last="Hodges">Mary H. Hodges</name>
</noRegion>
<name sortKey="Bangura, Momodu M" sort="Bangura, Momodu M" uniqKey="Bangura M" first="Momodu M" last="Bangura">Momodu M. Bangura</name>
<name sortKey="Nyorkor, Emanuel" sort="Nyorkor, Emanuel" uniqKey="Nyorkor E" first="Emanuel" last="Nyorkor">Emanuel Nyorkor</name>
<name sortKey="Paye, Jusufu" sort="Paye, Jusufu" uniqKey="Paye J" first="Jusufu" last="Paye">Jusufu Paye</name>
<name sortKey="Sonnie, Mustapha" sort="Sonnie, Mustapha" uniqKey="Sonnie M" first="Mustapha" last="Sonnie">Mustapha Sonnie</name>
</country>
<country name="Royaume-Uni"><noRegion><name sortKey="Dada, Nsa" sort="Dada, Nsa" uniqKey="Dada N" first="Nsa" last="Dada">Nsa Dada</name>
</noRegion>
<name sortKey="Warmsley, Anna" sort="Warmsley, Anna" uniqKey="Warmsley A" first="Anna" last="Warmsley">Anna Warmsley</name>
</country>
<country name="Sénégal"><noRegion><name sortKey="Zhang, Yaobi" sort="Zhang, Yaobi" uniqKey="Zhang Y" first="Yaobi" last="Zhang">Yaobi Zhang</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>
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