Risk Factors for Podoconiosis: Kamwenge District, Western Uganda, September 2015.
Identifieur interne : 000211 ( Main/Curation ); précédent : 000210; suivant : 000212Risk Factors for Podoconiosis: Kamwenge District, Western Uganda, September 2015.
Auteurs : Christine Kihembo [Ouganda] ; Ben Masiira [Ouganda] ; William Z. Lali [Ouganda] ; Gabriel K. Matwale [Ouganda] ; Joseph K B. Matovu [Ouganda] ; Frank Kaharuza [Ouganda] ; Alex R. Ario [Ouganda] ; Immaculate Nabukenya [Ouganda] ; Issa Makumbi [Ouganda] ; Monica Musenero [Ouganda] ; Bao-Ping Zhu [Ouganda] ; Miriam Nanyunja [Ouganda]Source :
- The American journal of tropical medicine and hygiene [ 1476-1645 ] ; 2017.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Chaussures, Comportement en matière de santé, Facteurs de risque, Femelle, Filariose lymphatique (diagnostic), Filariose lymphatique (épidémiologie), Humains, Hygiène, Jeune adulte, Maladies négligées (diagnostic), Maladies négligées (épidémiologie), Mâle, Ouganda (épidémiologie), Prévalence, Sol (parasitologie), Sujet âgé, Sujet âgé de 80 ans ou plus, Taille d'échantillon, Éléphantiasis (diagnostic), Éléphantiasis (épidémiologie), Études cas-témoins.
- MESH :
- diagnostic : Filariose lymphatique, Maladies négligées, Éléphantiasis.
- parasitologie : Sol.
- épidémiologie : Filariose lymphatique, Maladies négligées, Ouganda, Éléphantiasis.
- Adolescent, Adulte, Adulte d'âge moyen, Chaussures, Comportement en matière de santé, Facteurs de risque, Femelle, Humains, Hygiène, Jeune adulte, Mâle, Prévalence, Sujet âgé, Sujet âgé de 80 ans ou plus, Taille d'échantillon, Études cas-témoins.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Case-Control Studies, Elephantiasis (diagnosis), Elephantiasis (epidemiology), Elephantiasis, Filarial (diagnosis), Elephantiasis, Filarial (epidemiology), Female, Health Behavior, Humans, Hygiene, Male, Middle Aged, Neglected Diseases (diagnosis), Neglected Diseases (epidemiology), Prevalence, Risk Factors, Sample Size, Shoes, Soil (parasitology), Uganda (epidemiology), Young Adult.
- MESH :
- chemical , parasitology : Soil.
- diagnosis : Elephantiasis, Elephantiasis, Filarial, Neglected Diseases.
- epidemiology : Elephantiasis, Elephantiasis, Filarial, Neglected Diseases, Uganda.
- Adolescent, Adult, Aged, Aged, 80 and over, Case-Control Studies, Female, Health Behavior, Humans, Hygiene, Male, Middle Aged, Prevalence, Risk Factors, Sample Size, Shoes, Young Adult.
Abstract
AbstractPodoconiosis, a noninfectious elephantiasis, is a disabling neglected tropical disease. In August 2015, an elephantiasis case-cluster was reported in Kamwenge District, western Uganda. We investigated to identify the disease's nature and risk factors. We defined a suspected podoconiosis case as onset in a Kamwenge resident of bilateral asymmetrical lower limb swelling lasting ≥ 1 month, plus ≥ 1 of the following associated symptoms: skin itching, burning sensation, plantar edema, lymph ooze, prominent skin markings, rigid toes, or mossy papillomata. A probable case was a suspected case with negative microfilaria antigen immunochromatographic card test (ruling out filarial elephantiasis). We conducted active case-finding. In a case-control investigation, we tested the hypothesis that the disease was caused by prolonged foot skin exposure to irritant soils, using 40 probable case-persons and 80 asymptomatic village control-persons, individually matched by age and sex. We collected soil samples to characterize irritants. We identified 52 suspected (including 40 probable) cases with onset from 1980 to 2015. Prevalence rates increased with age; annual incidence (by reported onset of disease) was stable over time at 2.9/100,000. We found that 93% (37/40) of cases and 68% (54/80) of controls never wore shoes at work (Mantel-Haenszel odds ratio [ORMH] = 7.7; 95% [confidence interval] CI = 2.0-30); 80% (32/40) of cases and 49% (39/80) of controls never wore shoes at home (ORMH = 5.2; 95% CI = 1.8-15); and 70% (27/39) of cases and 44% (35/79) of controls washed feet at day end (versus immediately after work) (OR = 11; 95% CI = 2.1-56). Soil samples were characterized as rich black-red volcanic clays. In conclusion, this reported elephantiasis is podoconiosis associated with prolonged foot exposure to volcanic soil. We recommended foot hygiene and universal use of protective shoes.
DOI: 10.4269/ajtmh.16-0932
PubMed: 28719274
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: Pour aller vers cette notice dans l'étape Curation :000102
- to stream PubMed, to step Curation: Pour aller vers cette notice dans l'étape Curation :000102
- to stream PubMed, to step Checkpoint: Pour aller vers cette notice dans l'étape Curation :000102
- to stream Ncbi, to step Merge: Pour aller vers cette notice dans l'étape Curation :009287
- to stream Ncbi, to step Curation: Pour aller vers cette notice dans l'étape Curation :009287
- to stream Ncbi, to step Checkpoint: Pour aller vers cette notice dans l'étape Curation :009287
- to stream Main, to step Merge: Pour aller vers cette notice dans l'étape Curation :000211
Links to Exploration step
pubmed:28719274Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Risk Factors for Podoconiosis: Kamwenge District, Western Uganda, September 2015.</title>
<author><name sortKey="Kihembo, Christine" sort="Kihembo, Christine" uniqKey="Kihembo C" first="Christine" last="Kihembo">Christine Kihembo</name>
<affiliation wicri:level="1"><nlm:affiliation>Epidemiology and Surveillance Division, Ministry of Health, Kampala, Uganda.</nlm:affiliation>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>Epidemiology and Surveillance Division, Ministry of Health, Kampala</wicri:regionArea>
<wicri:noRegion>Kampala</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Masiira, Ben" sort="Masiira, Ben" uniqKey="Masiira B" first="Ben" last="Masiira">Ben Masiira</name>
<affiliation wicri:level="1"><nlm:affiliation>Epidemiology and Surveillance Division, Ministry of Health, Kampala, Uganda.</nlm:affiliation>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>Epidemiology and Surveillance Division, Ministry of Health, Kampala</wicri:regionArea>
<wicri:noRegion>Kampala</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Lali, William Z" sort="Lali, William Z" uniqKey="Lali W" first="William Z" last="Lali">William Z. Lali</name>
<affiliation wicri:level="1"><nlm:affiliation>World Health Organization Uganda Country Office, Kampala, Uganda.</nlm:affiliation>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>World Health Organization Uganda Country Office, Kampala</wicri:regionArea>
<wicri:noRegion>Kampala</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Matwale, Gabriel K" sort="Matwale, Gabriel K" uniqKey="Matwale G" first="Gabriel K" last="Matwale">Gabriel K. Matwale</name>
<affiliation wicri:level="1"><nlm:affiliation>Vector Control Division, Ministry of Health, Kampala, Uganda.</nlm:affiliation>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>Vector Control Division, Ministry of Health, Kampala</wicri:regionArea>
<wicri:noRegion>Kampala</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Matovu, Joseph K B" sort="Matovu, Joseph K B" uniqKey="Matovu J" first="Joseph K B" last="Matovu">Joseph K B. Matovu</name>
<affiliation wicri:level="1"><nlm:affiliation>Makerere University School of Public Health, Kampala, Uganda.</nlm:affiliation>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>Makerere University School of Public Health, Kampala</wicri:regionArea>
<wicri:noRegion>Kampala</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Kaharuza, Frank" sort="Kaharuza, Frank" uniqKey="Kaharuza F" first="Frank" last="Kaharuza">Frank Kaharuza</name>
<affiliation wicri:level="1"><nlm:affiliation>Makerere University School of Public Health, Kampala, Uganda.</nlm:affiliation>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>Makerere University School of Public Health, Kampala</wicri:regionArea>
<wicri:noRegion>Kampala</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ario, Alex R" sort="Ario, Alex R" uniqKey="Ario A" first="Alex R" last="Ario">Alex R. Ario</name>
<affiliation wicri:level="1"><nlm:affiliation>Uganda Public Health Fellowship Program, Field Epidemiology Track, Kampala, Uganda.</nlm:affiliation>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>Uganda Public Health Fellowship Program, Field Epidemiology Track, Kampala</wicri:regionArea>
<wicri:noRegion>Kampala</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Nabukenya, Immaculate" sort="Nabukenya, Immaculate" uniqKey="Nabukenya I" first="Immaculate" last="Nabukenya">Immaculate Nabukenya</name>
<affiliation wicri:level="1"><nlm:affiliation>Epidemiology and Surveillance Division, Ministry of Health, Kampala, Uganda.</nlm:affiliation>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>Epidemiology and Surveillance Division, Ministry of Health, Kampala</wicri:regionArea>
<wicri:noRegion>Kampala</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Makumbi, Issa" sort="Makumbi, Issa" uniqKey="Makumbi I" first="Issa" last="Makumbi">Issa Makumbi</name>
<affiliation wicri:level="1"><nlm:affiliation>Public Health Emergency Operations Centre, Ministry of Health, Kampala, Uganda.</nlm:affiliation>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>Public Health Emergency Operations Centre, Ministry of Health, Kampala</wicri:regionArea>
<wicri:noRegion>Kampala</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Musenero, Monica" sort="Musenero, Monica" uniqKey="Musenero M" first="Monica" last="Musenero">Monica Musenero</name>
<affiliation wicri:level="1"><nlm:affiliation>Epidemiology and Surveillance Division, Ministry of Health, Kampala, Uganda.</nlm:affiliation>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>Epidemiology and Surveillance Division, Ministry of Health, Kampala</wicri:regionArea>
<wicri:noRegion>Kampala</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Zhu, Bao Ping" sort="Zhu, Bao Ping" uniqKey="Zhu B" first="Bao-Ping" last="Zhu">Bao-Ping Zhu</name>
<affiliation wicri:level="1"><nlm:affiliation>U.S. Centers for Disease Control and Prevention, Kampala, Uganda.</nlm:affiliation>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>U.S. Centers for Disease Control and Prevention, Kampala</wicri:regionArea>
<wicri:noRegion>Kampala</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Nanyunja, Miriam" sort="Nanyunja, Miriam" uniqKey="Nanyunja M" first="Miriam" last="Nanyunja">Miriam Nanyunja</name>
<affiliation wicri:level="1"><nlm:affiliation>World Health Organization Uganda Country Office, Kampala, Uganda.</nlm:affiliation>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>World Health Organization Uganda Country Office, Kampala</wicri:regionArea>
<wicri:noRegion>Kampala</wicri:noRegion>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PubMed</idno>
<date when="2017">2017</date>
<idno type="RBID">pubmed:28719274</idno>
<idno type="pmid">28719274</idno>
<idno type="doi">10.4269/ajtmh.16-0932</idno>
<idno type="wicri:Area/PubMed/Corpus">000102</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000102</idno>
<idno type="wicri:Area/PubMed/Curation">000102</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000102</idno>
<idno type="wicri:Area/PubMed/Checkpoint">000102</idno>
<idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000102</idno>
<idno type="wicri:Area/Ncbi/Merge">009287</idno>
<idno type="wicri:Area/Ncbi/Curation">009287</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">009287</idno>
<idno type="wicri:Area/Main/Merge">000211</idno>
<idno type="wicri:Area/Main/Curation">000211</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en">Risk Factors for Podoconiosis: Kamwenge District, Western Uganda, September 2015.</title>
<author><name sortKey="Kihembo, Christine" sort="Kihembo, Christine" uniqKey="Kihembo C" first="Christine" last="Kihembo">Christine Kihembo</name>
<affiliation wicri:level="1"><nlm:affiliation>Epidemiology and Surveillance Division, Ministry of Health, Kampala, Uganda.</nlm:affiliation>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>Epidemiology and Surveillance Division, Ministry of Health, Kampala</wicri:regionArea>
<wicri:noRegion>Kampala</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Masiira, Ben" sort="Masiira, Ben" uniqKey="Masiira B" first="Ben" last="Masiira">Ben Masiira</name>
<affiliation wicri:level="1"><nlm:affiliation>Epidemiology and Surveillance Division, Ministry of Health, Kampala, Uganda.</nlm:affiliation>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>Epidemiology and Surveillance Division, Ministry of Health, Kampala</wicri:regionArea>
<wicri:noRegion>Kampala</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Lali, William Z" sort="Lali, William Z" uniqKey="Lali W" first="William Z" last="Lali">William Z. Lali</name>
<affiliation wicri:level="1"><nlm:affiliation>World Health Organization Uganda Country Office, Kampala, Uganda.</nlm:affiliation>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>World Health Organization Uganda Country Office, Kampala</wicri:regionArea>
<wicri:noRegion>Kampala</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Matwale, Gabriel K" sort="Matwale, Gabriel K" uniqKey="Matwale G" first="Gabriel K" last="Matwale">Gabriel K. Matwale</name>
<affiliation wicri:level="1"><nlm:affiliation>Vector Control Division, Ministry of Health, Kampala, Uganda.</nlm:affiliation>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>Vector Control Division, Ministry of Health, Kampala</wicri:regionArea>
<wicri:noRegion>Kampala</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Matovu, Joseph K B" sort="Matovu, Joseph K B" uniqKey="Matovu J" first="Joseph K B" last="Matovu">Joseph K B. Matovu</name>
<affiliation wicri:level="1"><nlm:affiliation>Makerere University School of Public Health, Kampala, Uganda.</nlm:affiliation>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>Makerere University School of Public Health, Kampala</wicri:regionArea>
<wicri:noRegion>Kampala</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Kaharuza, Frank" sort="Kaharuza, Frank" uniqKey="Kaharuza F" first="Frank" last="Kaharuza">Frank Kaharuza</name>
<affiliation wicri:level="1"><nlm:affiliation>Makerere University School of Public Health, Kampala, Uganda.</nlm:affiliation>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>Makerere University School of Public Health, Kampala</wicri:regionArea>
<wicri:noRegion>Kampala</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ario, Alex R" sort="Ario, Alex R" uniqKey="Ario A" first="Alex R" last="Ario">Alex R. Ario</name>
<affiliation wicri:level="1"><nlm:affiliation>Uganda Public Health Fellowship Program, Field Epidemiology Track, Kampala, Uganda.</nlm:affiliation>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>Uganda Public Health Fellowship Program, Field Epidemiology Track, Kampala</wicri:regionArea>
<wicri:noRegion>Kampala</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Nabukenya, Immaculate" sort="Nabukenya, Immaculate" uniqKey="Nabukenya I" first="Immaculate" last="Nabukenya">Immaculate Nabukenya</name>
<affiliation wicri:level="1"><nlm:affiliation>Epidemiology and Surveillance Division, Ministry of Health, Kampala, Uganda.</nlm:affiliation>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>Epidemiology and Surveillance Division, Ministry of Health, Kampala</wicri:regionArea>
<wicri:noRegion>Kampala</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Makumbi, Issa" sort="Makumbi, Issa" uniqKey="Makumbi I" first="Issa" last="Makumbi">Issa Makumbi</name>
<affiliation wicri:level="1"><nlm:affiliation>Public Health Emergency Operations Centre, Ministry of Health, Kampala, Uganda.</nlm:affiliation>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>Public Health Emergency Operations Centre, Ministry of Health, Kampala</wicri:regionArea>
<wicri:noRegion>Kampala</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Musenero, Monica" sort="Musenero, Monica" uniqKey="Musenero M" first="Monica" last="Musenero">Monica Musenero</name>
<affiliation wicri:level="1"><nlm:affiliation>Epidemiology and Surveillance Division, Ministry of Health, Kampala, Uganda.</nlm:affiliation>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>Epidemiology and Surveillance Division, Ministry of Health, Kampala</wicri:regionArea>
<wicri:noRegion>Kampala</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Zhu, Bao Ping" sort="Zhu, Bao Ping" uniqKey="Zhu B" first="Bao-Ping" last="Zhu">Bao-Ping Zhu</name>
<affiliation wicri:level="1"><nlm:affiliation>U.S. Centers for Disease Control and Prevention, Kampala, Uganda.</nlm:affiliation>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>U.S. Centers for Disease Control and Prevention, Kampala</wicri:regionArea>
<wicri:noRegion>Kampala</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Nanyunja, Miriam" sort="Nanyunja, Miriam" uniqKey="Nanyunja M" first="Miriam" last="Nanyunja">Miriam Nanyunja</name>
<affiliation wicri:level="1"><nlm:affiliation>World Health Organization Uganda Country Office, Kampala, Uganda.</nlm:affiliation>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>World Health Organization Uganda Country Office, Kampala</wicri:regionArea>
<wicri:noRegion>Kampala</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j">The American journal of tropical medicine and hygiene</title>
<idno type="eISSN">1476-1645</idno>
<imprint><date when="2017" type="published">2017</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>Case-Control Studies</term>
<term>Elephantiasis (diagnosis)</term>
<term>Elephantiasis (epidemiology)</term>
<term>Elephantiasis, Filarial (diagnosis)</term>
<term>Elephantiasis, Filarial (epidemiology)</term>
<term>Female</term>
<term>Health Behavior</term>
<term>Humans</term>
<term>Hygiene</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neglected Diseases (diagnosis)</term>
<term>Neglected Diseases (epidemiology)</term>
<term>Prevalence</term>
<term>Risk Factors</term>
<term>Sample Size</term>
<term>Shoes</term>
<term>Soil (parasitology)</term>
<term>Uganda (epidemiology)</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>Chaussures</term>
<term>Comportement en matière de santé</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Filariose lymphatique (diagnostic)</term>
<term>Filariose lymphatique (épidémiologie)</term>
<term>Humains</term>
<term>Hygiène</term>
<term>Jeune adulte</term>
<term>Maladies négligées (diagnostic)</term>
<term>Maladies négligées (épidémiologie)</term>
<term>Mâle</term>
<term>Ouganda (épidémiologie)</term>
<term>Prévalence</term>
<term>Sol (parasitologie)</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Taille d'échantillon</term>
<term>Éléphantiasis (diagnostic)</term>
<term>Éléphantiasis (épidémiologie)</term>
<term>Études cas-témoins</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="parasitology" xml:lang="en"><term>Soil</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Elephantiasis</term>
<term>Elephantiasis, Filarial</term>
<term>Neglected Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Filariose lymphatique</term>
<term>Maladies négligées</term>
<term>Éléphantiasis</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Elephantiasis</term>
<term>Elephantiasis, Filarial</term>
<term>Neglected Diseases</term>
<term>Uganda</term>
</keywords>
<keywords scheme="MESH" qualifier="parasitologie" xml:lang="fr"><term>Sol</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Filariose lymphatique</term>
<term>Maladies négligées</term>
<term>Ouganda</term>
<term>Éléphantiasis</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Case-Control Studies</term>
<term>Female</term>
<term>Health Behavior</term>
<term>Humans</term>
<term>Hygiene</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prevalence</term>
<term>Risk Factors</term>
<term>Sample Size</term>
<term>Shoes</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>Chaussures</term>
<term>Comportement en matière de santé</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hygiène</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Prévalence</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Taille d'échantillon</term>
<term>Études cas-témoins</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">AbstractPodoconiosis, a noninfectious elephantiasis, is a disabling neglected tropical disease. In August 2015, an elephantiasis case-cluster was reported in Kamwenge District, western Uganda. We investigated to identify the disease's nature and risk factors. We defined a suspected podoconiosis case as onset in a Kamwenge resident of bilateral asymmetrical lower limb swelling lasting ≥ 1 month, plus ≥ 1 of the following associated symptoms: skin itching, burning sensation, plantar edema, lymph ooze, prominent skin markings, rigid toes, or mossy papillomata. A probable case was a suspected case with negative microfilaria antigen immunochromatographic card test (ruling out filarial elephantiasis). We conducted active case-finding. In a case-control investigation, we tested the hypothesis that the disease was caused by prolonged foot skin exposure to irritant soils, using 40 probable case-persons and 80 asymptomatic village control-persons, individually matched by age and sex. We collected soil samples to characterize irritants. We identified 52 suspected (including 40 probable) cases with onset from 1980 to 2015. Prevalence rates increased with age; annual incidence (by reported onset of disease) was stable over time at 2.9/100,000. We found that 93% (37/40) of cases and 68% (54/80) of controls never wore shoes at work (Mantel-Haenszel odds ratio [ORMH] = 7.7; 95% [confidence interval] CI = 2.0-30); 80% (32/40) of cases and 49% (39/80) of controls never wore shoes at home (ORMH = 5.2; 95% CI = 1.8-15); and 70% (27/39) of cases and 44% (35/79) of controls washed feet at day end (versus immediately after work) (OR = 11; 95% CI = 2.1-56). Soil samples were characterized as rich black-red volcanic clays. In conclusion, this reported elephantiasis is podoconiosis associated with prolonged foot exposure to volcanic soil. We recommended foot hygiene and universal use of protective shoes.</div>
</front>
</TEI>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Main/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000211 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Curation/biblio.hfd -nk 000211 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Sante |area= LymphedemaV1 |flux= Main |étape= Curation |type= RBID |clé= pubmed:28719274 |texte= Risk Factors for Podoconiosis: Kamwenge District, Western Uganda, September 2015. }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Curation/RBID.i -Sk "pubmed:28719274" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Curation/biblio.hfd \ | NlmPubMed2Wicri -a LymphedemaV1
This area was generated with Dilib version V0.6.31. |