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Re-assessing the global prevalence and distribution of lymphatic filariasis

Identifieur interne : 005D32 ( Istex/Corpus ); précédent : 005D31; suivant : 005D33

Re-assessing the global prevalence and distribution of lymphatic filariasis

Auteurs : E. Michael ; D. A. P. Bundy ; B. T. Grenfell

Source :

RBID : ISTEX:C715A5082CD3E3C1618755F4853B350F5843F669

Abstract

This paper estimates the global burden of lymphatic filariasis based on a review of the published literature on infection and disease surveys. A method for aggregating and projecting prevalence data from individual studies to national, regional and global levels, which also facilitates the estimation of gender and age-specific burdens, is presented. The method weights in favour of the larger, and hence presumbably more reliable, studies and relies on estimated empirical relationships between gender, age, infection and disease in order to correct studies with incomplete data. The results presented here suggest that although the overall prevalence of filariasis cases is 2·0% globally (approximately totalling 119 million cases), the disease continues to be of considerable local importance, particularly in India and Sub-Saharan Africa. Estimates by age and gender clearly show that, unlike other helminth infections, filariasis is mainly a disease of the adult and older age-classes and appears to be more prevalent in males. This work suggests that the derivation of more accurate estimates of the burden of filariasis will require a better understanding of both the epidemiology and the spatial aspects of infection and disease. It also suggests that filariasis is preventable based on a geographically targeted strategy for control.

Url:
DOI: 10.1017/S0031182000066646

Links to Exploration step

ISTEX:C715A5082CD3E3C1618755F4853B350F5843F669

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<title>Re-assessing the global prevalence and distribution of lymphatic filariasis</title>
</titleInfo>
<titleInfo type="alternative">
<title>E. Michael, D.A.P. Bundy and B. T. Grenfell</title>
</titleInfo>
<titleInfo type="alternative" contentType="CDATA">
<title>Re-assessing the global prevalence and distribution of lymphatic filariasis</title>
</titleInfo>
<name type="personal">
<namePart type="given">E.</namePart>
<namePart type="family">Michael</namePart>
<affiliation>Department of Zoology, University of Cambridge, Downing Street, Cambridge CB2 3EJ, UK</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">D. A. P.</namePart>
<namePart type="family">Bundy</namePart>
<affiliation>Centre for the Epidemiology of Infectious Disease, University of Oxford, South Parks Road, Oxford OX1 3PS, UK</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">B. T.</namePart>
<namePart type="family">Grenfell</namePart>
<affiliation>Department of Zoology, University of Cambridge, Downing Street, Cambridge CB2 3EJ, UK</affiliation>
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<abstract type="normal">This paper estimates the global burden of lymphatic filariasis based on a review of the published literature on infection and disease surveys. A method for aggregating and projecting prevalence data from individual studies to national, regional and global levels, which also facilitates the estimation of gender and age-specific burdens, is presented. The method weights in favour of the larger, and hence presumbably more reliable, studies and relies on estimated empirical relationships between gender, age, infection and disease in order to correct studies with incomplete data. The results presented here suggest that although the overall prevalence of filariasis cases is 2·0% globally (approximately totalling 119 million cases), the disease continues to be of considerable local importance, particularly in India and Sub-Saharan Africa. Estimates by age and gender clearly show that, unlike other helminth infections, filariasis is mainly a disease of the adult and older age-classes and appears to be more prevalent in males. This work suggests that the derivation of more accurate estimates of the burden of filariasis will require a better understanding of both the epidemiology and the spatial aspects of infection and disease. It also suggests that filariasis is preventable based on a geographically targeted strategy for control.</abstract>
<subject>
<genre>Key words</genre>
<topic>lymphatic filariasis</topic>
<topic>global burden</topic>
<topic>epidemiology</topic>
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<title>Parasitology</title>
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<title>Parasitology</title>
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<identifier type="ISSN">0031-1820</identifier>
<identifier type="eISSN">1469-8161</identifier>
<identifier type="PublisherID">PAR</identifier>
<part>
<date>1996</date>
<detail type="volume">
<caption>vol.</caption>
<number>112</number>
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<detail type="issue">
<caption>no.</caption>
<number>4</number>
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<extent unit="pages">
<start>409</start>
<end>428</end>
<total>20</total>
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<identifier type="ArticleID">06664</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Copyright © Cambridge University Press 1996</accessCondition>
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