A case study of risk factors for lymphatic filariasis in the Republic of Congo
Identifieur interne : 000128 ( France/Analysis ); précédent : 000127; suivant : 000129A case study of risk factors for lymphatic filariasis in the Republic of Congo
Auteurs : Cédric B. Chesnais [France] ; François Missamou ; Sébastien D. Pion [France, Cameroun] ; Jean Bopda [Cameroun] ; Frédéric Louya ; Andrew C. Majewski [États-Unis] ; Peter U. Fischer [États-Unis] ; Gary J. Weil [États-Unis] ; Michel Boussinesq [France]Source :
- Parasites & Vectors [ 1756-3305 ] ; 2014.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Alimentation en eau, Antihelminthiques (usage thérapeutique), Congo (épidémiologie), Enfant, Enfant d'âge préscolaire, Exposition professionnelle, Facteurs de risque, Femelle, Filariose lymphatique (épidémiologie), Génie sanitaire, Humains, Jeune adulte, Moustiquaires de lit traitées aux insecticides, Mâle, Odds ratio, Prévalence, Sujet âgé, Sujet âgé de 80 ans ou plus.
- MESH :
- usage thérapeutique : Antihelminthiques.
- épidémiologie : Congo, Filariose lymphatique.
- Adolescent, Adulte, Adulte d'âge moyen, Alimentation en eau, Enfant, Enfant d'âge préscolaire, Exposition professionnelle, Facteurs de risque, Femelle, Génie sanitaire, Humains, Jeune adulte, Moustiquaires de lit traitées aux insecticides, Mâle, Odds ratio, Prévalence, Sujet âgé, Sujet âgé de 80 ans ou plus.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Anthelmintics (therapeutic use), Child, Child, Preschool, Congo (epidemiology), Elephantiasis, Filarial (epidemiology), Female, Humans, Insecticide-Treated Bednets, Male, Middle Aged, Occupational Exposure, Odds Ratio, Prevalence, Risk Factors, Sanitary Engineering, Water Supply, Young Adult.
- MESH :
- chemical , therapeutic use : Anthelmintics.
- geographic , epidemiology : Congo.
- epidemiology : Elephantiasis, Filarial.
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Female, Humans, Insecticide-Treated Bednets, Male, Middle Aged, Occupational Exposure, Odds Ratio, Prevalence, Risk Factors, Sanitary Engineering, Water Supply, Young Adult.
Abstract
Little is known regarding risk factors for lymphatic filariasis (LF) in Central Africa. We studied the epidemiology of LF in an endemic village in the Republic of Congo.
Dependent variables were
134 of 774 subjects aged ≥ 5 years (17.3%) had
Age, sex, and occupation-dependent exposure to mosquitoes were important risk factors for infection with
Url:
DOI: 10.1186/1756-3305-7-300
PubMed: 24984769
PubMed Central: 4089930
Affiliations:
- Cameroun, France, États-Unis
- Missouri (État)
- Saint-Louis (Missouri)
- École de médecine (Université Washington de Saint-Louis)
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PMC:4089930Le document en format XML
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Box 64501, 34394 Montpellier, Cedex 5, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>UMI 233, Institut de Recherche pour le Développement (IRD) and University of Montpellier 1, 911 avenue Agropolis, P.O. 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Chesnais</name><affiliation wicri:level="1"><nlm:aff id="I1">UMI 233, Institut de Recherche pour le Développement (IRD) and University of Montpellier 1, 911 avenue Agropolis, P.O. Box 64501, 34394 Montpellier, Cedex 5, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>UMI 233, Institut de Recherche pour le Développement (IRD) and University of Montpellier 1, 911 avenue Agropolis, P.O. Box 64501, 34394 Montpellier, Cedex 5</wicri:regionArea><wicri:noRegion>Cedex 5</wicri:noRegion><wicri:noRegion>Cedex 5</wicri:noRegion></affiliation></author><author><name sortKey="Missamou, Francois" sort="Missamou, Francois" uniqKey="Missamou F" first="François" last="Missamou">François Missamou</name><affiliation><nlm:aff id="I2">Programme National de Lutte contre l’Onchocercose, Direction de l’Epidémiologie et de la Lutte contre la Maladie, Ministère de la santé et de la Population, BP 1066 Brazzaville, Republic of Congo</nlm:aff><wicri:noCountry code="subfield">Republic of Congo</wicri:noCountry></affiliation></author><author><name sortKey="Pion, Sebastien D" sort="Pion, Sebastien D" uniqKey="Pion S" first="Sébastien D" last="Pion">Sébastien D. Pion</name><affiliation wicri:level="1"><nlm:aff id="I1">UMI 233, Institut de Recherche pour le Développement (IRD) and University of Montpellier 1, 911 avenue Agropolis, P.O. Box 64501, 34394 Montpellier, Cedex 5, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>UMI 233, Institut de Recherche pour le Développement (IRD) and University of Montpellier 1, 911 avenue Agropolis, P.O. Box 64501, 34394 Montpellier, Cedex 5</wicri:regionArea><wicri:noRegion>Cedex 5</wicri:noRegion><wicri:noRegion>Cedex 5</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I3">Centre for Research on Filariasis and other Tropical Diseases (CRFilMT), P.O. Box 5797, Yaoundé, Cameroon</nlm:aff><country xml:lang="fr">Cameroun</country><wicri:regionArea>Centre for Research on Filariasis and other Tropical Diseases (CRFilMT), P.O. Box 5797, Yaoundé</wicri:regionArea><wicri:noRegion>Yaoundé</wicri:noRegion></affiliation></author><author><name sortKey="Bopda, Jean" sort="Bopda, Jean" uniqKey="Bopda J" first="Jean" last="Bopda">Jean Bopda</name><affiliation wicri:level="1"><nlm:aff id="I3">Centre for Research on Filariasis and other Tropical Diseases (CRFilMT), P.O. Box 5797, Yaoundé, Cameroon</nlm:aff><country xml:lang="fr">Cameroun</country><wicri:regionArea>Centre for Research on Filariasis and other Tropical Diseases (CRFilMT), P.O. Box 5797, Yaoundé</wicri:regionArea><wicri:noRegion>Yaoundé</wicri:noRegion></affiliation></author><author><name sortKey="Louya, Frederic" sort="Louya, Frederic" uniqKey="Louya F" first="Frédéric" last="Louya">Frédéric Louya</name><affiliation><nlm:aff id="I2">Programme National de Lutte contre l’Onchocercose, Direction de l’Epidémiologie et de la Lutte contre la Maladie, Ministère de la santé et de la Population, BP 1066 Brazzaville, Republic of Congo</nlm:aff><wicri:noCountry code="subfield">Republic of Congo</wicri:noCountry></affiliation></author><author><name sortKey="Majewski, Andrew C" sort="Majewski, Andrew C" uniqKey="Majewski A" first="Andrew C" last="Majewski">Andrew C. Majewski</name><affiliation wicri:level="4"><nlm:aff id="I4">Infectious Diseases Division, Department of Internal Medicine, Campus Box 8051, Washington University School of Medicine, 660 S. Euclid Ave., St. Louis, MO, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Infectious Diseases Division, Department of Internal Medicine, Campus Box 8051, Washington University School of Medicine, 660 S. Euclid Ave., St. Louis, MO</wicri:regionArea><orgName type="university">École de médecine (Université Washington de Saint-Louis)</orgName><placeName><settlement type="city">Saint-Louis (Missouri)</settlement><region type="state">Missouri (État)</region></placeName></affiliation></author><author><name sortKey="Fischer, Peter U" sort="Fischer, Peter U" uniqKey="Fischer P" first="Peter U" last="Fischer">Peter U. Fischer</name><affiliation wicri:level="4"><nlm:aff id="I4">Infectious Diseases Division, Department of Internal Medicine, Campus Box 8051, Washington University School of Medicine, 660 S. Euclid Ave., St. Louis, MO, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Infectious Diseases Division, Department of Internal Medicine, Campus Box 8051, Washington University School of Medicine, 660 S. Euclid Ave., St. Louis, MO</wicri:regionArea><orgName type="university">École de médecine (Université Washington de Saint-Louis)</orgName><placeName><settlement type="city">Saint-Louis (Missouri)</settlement><region type="state">Missouri (État)</region></placeName></affiliation></author><author><name sortKey="Weil, Gary J" sort="Weil, Gary J" uniqKey="Weil G" first="Gary J" last="Weil">Gary J. Weil</name><affiliation wicri:level="4"><nlm:aff id="I4">Infectious Diseases Division, Department of Internal Medicine, Campus Box 8051, Washington University School of Medicine, 660 S. Euclid Ave., St. Louis, MO, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Infectious Diseases Division, Department of Internal Medicine, Campus Box 8051, Washington University School of Medicine, 660 S. Euclid Ave., St. Louis, MO</wicri:regionArea><orgName type="university">École de médecine (Université Washington de Saint-Louis)</orgName><placeName><settlement type="city">Saint-Louis (Missouri)</settlement><region type="state">Missouri (État)</region></placeName></affiliation></author><author><name sortKey="Boussinesq, Michel" sort="Boussinesq, Michel" uniqKey="Boussinesq M" first="Michel" last="Boussinesq">Michel Boussinesq</name><affiliation wicri:level="1"><nlm:aff id="I1">UMI 233, Institut de Recherche pour le Développement (IRD) and University of Montpellier 1, 911 avenue Agropolis, P.O. Box 64501, 34394 Montpellier, Cedex 5, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>UMI 233, Institut de Recherche pour le Développement (IRD) and University of Montpellier 1, 911 avenue Agropolis, P.O. Box 64501, 34394 Montpellier, Cedex 5</wicri:regionArea><wicri:noRegion>Cedex 5</wicri:noRegion><wicri:noRegion>Cedex 5</wicri:noRegion></affiliation></author></analytic><series><title level="j">Parasites & Vectors</title><idno type="eISSN">1756-3305</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Anthelmintics (therapeutic use)</term><term>Child</term><term>Child, Preschool</term><term>Congo (epidemiology)</term><term>Elephantiasis, Filarial (epidemiology)</term><term>Female</term><term>Humans</term><term>Insecticide-Treated Bednets</term><term>Male</term><term>Middle Aged</term><term>Occupational Exposure</term><term>Odds Ratio</term><term>Prevalence</term><term>Risk Factors</term><term>Sanitary Engineering</term><term>Water Supply</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Alimentation en eau</term><term>Antihelminthiques (usage thérapeutique)</term><term>Congo (épidémiologie)</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Exposition professionnelle</term><term>Facteurs de risque</term><term>Femelle</term><term>Filariose lymphatique (épidémiologie)</term><term>Génie sanitaire</term><term>Humains</term><term>Jeune adulte</term><term>Moustiquaires de lit traitées aux insecticides</term><term>Mâle</term><term>Odds ratio</term><term>Prévalence</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anthelmintics</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Congo</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Elephantiasis, Filarial</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Antihelminthiques</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Congo</term><term>Filariose lymphatique</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Child</term><term>Child, Preschool</term><term>Female</term><term>Humans</term><term>Insecticide-Treated Bednets</term><term>Male</term><term>Middle Aged</term><term>Occupational Exposure</term><term>Odds Ratio</term><term>Prevalence</term><term>Risk Factors</term><term>Sanitary Engineering</term><term>Water Supply</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Alimentation en eau</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Exposition professionnelle</term><term>Facteurs de risque</term><term>Femelle</term><term>Génie sanitaire</term><term>Humains</term><term>Jeune adulte</term><term>Moustiquaires de lit traitées aux insecticides</term><term>Mâle</term><term>Odds ratio</term><term>Prévalence</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Little is known regarding risk factors for lymphatic filariasis (LF) in Central Africa. We studied the epidemiology of LF in an endemic village in the Republic of Congo.</p></sec><sec><title>Methods</title><p>Dependent variables were <italic>Wuchereria bancrofti</italic> antigenemia (ICT card test) and microfilaremia (night blood smears). The following factors were investigated: sex, age, bed net, latrines, source of water, uptake of anthelmintic drugs, hunting/fishing activities, and occasionally sleeping in the bush. Mixed multivariate logistic regression models were used.</p></sec><sec><title>Results</title><p>134 of 774 subjects aged ≥ 5 years (17.3%) had <italic>W. bancrofti</italic> antigenemia and 41 (5.3%) had microfilaremia (mf). Infection rates increased with age up to roughly 20 years and remained stable thereafter. Multivariate analysis of antigenemia demonstrated an increased risk for males (OR = 2.0 [1.3-3.0]) and for people who hunt or fish (OR = 1.5 [1.0-2.4]) and a protective effect of latrines (OR = 0.5 [0.4-0.8]). Among males, those hunting or fishing at night had an increased risk for antigenemia (OR = 1.9 [1.1-3.5]), and use of latrines was protective (OR = 0.5 [0.3-0.9]). For females, bed nets were protective (OR = 0.4 [0.1-0.9]), and there was a strong household effect (intraclass correlation coefficient [ICC]: 0.24). When mf was used as the dependent variable, males had a higher risk for infection (OR = 5.4 [2.1-13.4]), latrines had a protective effect (OR = 0.4 [0.1-0.9]) and there was a marked household effect (ICC = 0.49).</p></sec><sec><title>Conclusions</title><p>Age, sex, and occupation-dependent exposure to mosquitoes were important risk factors for infection with <italic>W. bancrofti</italic> in this study. It is likely that men often acquire infection in high transmission areas outside of the village, while children and women are infected in areas with lower transmission inside or near the village. Additional studies are needed to determine whether these findings apply to other areas in Central Africa.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Sodahlon, Yk" uniqKey="Sodahlon Y">YK Sodahlon</name></author><author><name sortKey="Dorkenoo, Am" uniqKey="Dorkenoo A">AM Dorkenoo</name></author><author><name sortKey="Morgah, K" uniqKey="Morgah K">K Morgah</name></author><author><name sortKey="Nabiliou, K" uniqKey="Nabiliou K">K Nabiliou</name></author><author><name sortKey="Agbo, K" uniqKey="Agbo K">K Agbo</name></author><author><name sortKey="Miller, R" uniqKey="Miller R">R Miller</name></author><author><name sortKey="Datagni, M" uniqKey="Datagni M">M Datagni</name></author><author><name sortKey="Seim, A" uniqKey="Seim A">A Seim</name></author><author><name sortKey="Mathieu, E" uniqKey="Mathieu E">E Mathieu</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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Palmieri</name></author><author><name sortKey="Connor, Dh" uniqKey="Connor D">DH Connor</name></author><author><name sortKey="Purnomo" uniqKey="Purnomo">Purnomo</name></author><author><name sortKey="Dennis, Dt" uniqKey="Dennis D">DT Dennis</name></author><author><name sortKey="Marwoto, H" uniqKey="Marwoto H">H Marwoto</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Misra, S" uniqKey="Misra S">S Misra</name></author><author><name sortKey="Tyagi, K" uniqKey="Tyagi K">K Tyagi</name></author><author><name sortKey="Chatterjee, Rk" uniqKey="Chatterjee R">RK Chatterjee</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cross, Jh" uniqKey="Cross J">JH Cross</name></author><author><name sortKey="Partono, F" uniqKey="Partono F">F Partono</name></author><author><name sortKey="Hsu, Myk" uniqKey="Hsu M">MYK Hsu</name></author><author><name sortKey="Ash, Lr" uniqKey="Ash L">LR Ash</name></author><author><name sortKey="Oemijati, S" uniqKey="Oemijati S">S Oemijati</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dissanaike, As" uniqKey="Dissanaike A">AS Dissanaike</name></author><author><name sortKey="Mak, Jw" uniqKey="Mak J">JW Mak</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Henrard, C" uniqKey="Henrard C">C Henrard</name></author><author><name sortKey="Peel, E" uniqKey="Peel E">E Peel</name></author><author><name sortKey="Wanson, M" uniqKey="Wanson M">M Wanson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Adam, Jp" uniqKey="Adam J">JP Adam</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Cameroun</li><li>France</li><li>États-Unis</li></country><region><li>Missouri (État)</li></region><settlement><li>Saint-Louis (Missouri)</li></settlement><orgName><li>École de médecine (Université Washington de Saint-Louis)</li></orgName></list><tree><noCountry><name sortKey="Louya, Frederic" sort="Louya, Frederic" uniqKey="Louya F" first="Frédéric" last="Louya">Frédéric Louya</name><name sortKey="Missamou, Francois" sort="Missamou, Francois" uniqKey="Missamou F" first="François" last="Missamou">François Missamou</name></noCountry><country name="France"><noRegion><name sortKey="Chesnais, Cedric B" sort="Chesnais, Cedric B" uniqKey="Chesnais C" first="Cédric B" last="Chesnais">Cédric B. Chesnais</name></noRegion><name sortKey="Boussinesq, Michel" sort="Boussinesq, Michel" uniqKey="Boussinesq M" first="Michel" last="Boussinesq">Michel Boussinesq</name><name sortKey="Pion, Sebastien D" sort="Pion, Sebastien D" uniqKey="Pion S" first="Sébastien D" last="Pion">Sébastien D. Pion</name></country><country name="Cameroun"><noRegion><name sortKey="Pion, Sebastien D" sort="Pion, Sebastien D" uniqKey="Pion S" first="Sébastien D" last="Pion">Sébastien D. Pion</name></noRegion><name sortKey="Bopda, Jean" sort="Bopda, Jean" uniqKey="Bopda J" first="Jean" last="Bopda">Jean Bopda</name></country><country name="États-Unis"><region name="Missouri (État)"><name sortKey="Majewski, Andrew C" sort="Majewski, Andrew C" uniqKey="Majewski A" first="Andrew C" last="Majewski">Andrew C. Majewski</name></region><name sortKey="Fischer, Peter U" sort="Fischer, Peter U" uniqKey="Fischer P" first="Peter U" last="Fischer">Peter U. Fischer</name><name sortKey="Weil, Gary J" sort="Weil, Gary J" uniqKey="Weil G" first="Gary J" last="Weil">Gary J. Weil</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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