Wuchereria bancrofti infection at four primary schools and surrounding communities with no previous blood surveys in northern Uganda: the prevalence after mass drug administrations and a report on suspected non-filarial endemic elephantiasis
Identifieur interne : 000870 ( Main/Exploration ); précédent : 000869; suivant : 000871Wuchereria bancrofti infection at four primary schools and surrounding communities with no previous blood surveys in northern Uganda: the prevalence after mass drug administrations and a report on suspected non-filarial endemic elephantiasis
Auteurs : Emmanuel Igwaro Odongo-Aginya [Ouganda] ; Alex Olia [Ouganda] ; Kilama Justin Luwa [Ouganda] ; Eiji Nagayasu [Japon] ; Anna Mary Auma [Ouganda] ; Geoffrey Egitat [Ouganda] ; Gerald Mwesigwa [Ouganda] ; Yoshitaka Ogino ; Eisaku Kimura ; Toshihiro HoriiSource :
- Tropical Medicine and Health [ 1348-8945 ] ; 2017.
Abstract
A prevalence study of
A total of 982 people including 570 schoolchildren (7–19 years) and 412 community people (7–25 years) were examined, all of them for filarial antigen and 695 for microfilariae. The study revealed that all subjects were negative by both methods.
It was considered that annual mass drug administrations together with anti-malarial activities such as indoor residual spraying had contributed to the reduction of the filarial infection. However, based on the past data obtained near our study sites, we cannot exclude the possibility that filarial prevalence rates in our study sites were very low or even zero originally. During the study, we encountered several patients with lower leg edema and pachydermic (elephant skin-like), mossy skin lesion of the foot. Judging from clinical features and bare-footed life-style of people in the area, non-filarial elephantiasis, possibly podoconiosis, was suspected. This elephantiasis has been reported in areas where filariasis is not endemic.
Url:
DOI: 10.1186/s41182-017-0060-y
PubMed: 28814926
PubMed Central: 5556395
Affiliations:
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Respiratory Medicine, Kochi Medical School,</institution><institution>Kochi University,</institution></institution-wrap>Nankoku, Kochi 783-8505 Japan</nlm:aff><wicri:noCountry code="subfield">Kochi 783-8505 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Kimura, Eisaku" sort="Kimura, Eisaku" uniqKey="Kimura E" first="Eisaku" last="Kimura">Eisaku Kimura</name><affiliation><nlm:aff id="Aff7"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0373 3971</institution-id><institution-id institution-id-type="GRID">grid.136593.b</institution-id><institution>Department of Molecular Protozoology, Research Institute for Microbial Diseases,</institution><institution>Osaka University,</institution></institution-wrap>Suita, Osaka 565-0871 Japan</nlm:aff><wicri:noCountry code="subfield">Osaka 565-0871 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Horii, Toshihiro" sort="Horii, Toshihiro" uniqKey="Horii T" first="Toshihiro" 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Aginya, Emmanuel Igwaro" sort="Odongo Aginya, Emmanuel Igwaro" uniqKey="Odongo Aginya E" first="Emmanuel Igwaro" last="Odongo-Aginya">Emmanuel Igwaro Odongo-Aginya</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.442626.0</institution-id><institution>Department of Microbiology and Immunology, Faculty of Medicine,</institution><institution>Gulu University,</institution></institution-wrap>P.O. Box 166, Gulu, Uganda</nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>P.O. Box 166, Gulu</wicri:regionArea><wicri:noRegion>Gulu</wicri:noRegion></affiliation></author><author><name sortKey="Olia, Alex" sort="Olia, Alex" uniqKey="Olia A" first="Alex" last="Olia">Alex Olia</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.442626.0</institution-id><institution>Department of Microbiology and Immunology, Faculty of Medicine,</institution><institution>Gulu University,</institution></institution-wrap>P.O. Box 166, Gulu, Uganda</nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>P.O. Box 166, Gulu</wicri:regionArea><wicri:noRegion>Gulu</wicri:noRegion></affiliation></author><author><name sortKey="Luwa, Kilama Justin" sort="Luwa, Kilama Justin" uniqKey="Luwa K" first="Kilama Justin" last="Luwa">Kilama Justin Luwa</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.442626.0</institution-id><institution>Department of Biology, Faculty of Science,</institution><institution>Gulu University,</institution></institution-wrap>P.O.Box 166, Gulu, Uganda</nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>P.O.Box 166, Gulu</wicri:regionArea><wicri:noRegion>Gulu</wicri:noRegion></affiliation></author><author><name sortKey="Nagayasu, Eiji" sort="Nagayasu, Eiji" uniqKey="Nagayasu E" first="Eiji" last="Nagayasu">Eiji Nagayasu</name><affiliation wicri:level="1"><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 0657 3887</institution-id><institution-id institution-id-type="GRID">grid.410849.0</institution-id><institution>Division of Parasitology, Department of Infectious Diseases, Faculty of Medicine,</institution><institution>University of Miyazaki,</institution></institution-wrap>Miyazaki, 889-1692 Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Miyazaki</wicri:regionArea></affiliation></author><author><name sortKey="Auma, Anna Mary" sort="Auma, Anna Mary" uniqKey="Auma A" first="Anna Mary" last="Auma">Anna Mary Auma</name><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="GRID">grid.415705.2</institution-id><institution>Vector Control Division,</institution><institution>Ministry of Health,</institution></institution-wrap>P.O.Box 1661, Kampala, Uganda</nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>P.O.Box 1661, Kampala</wicri:regionArea><wicri:noRegion>Kampala</wicri:noRegion></affiliation></author><author><name sortKey="Egitat, Geoffrey" sort="Egitat, Geoffrey" uniqKey="Egitat G" first="Geoffrey" last="Egitat">Geoffrey Egitat</name><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="GRID">grid.415705.2</institution-id><institution>Vector Control Division,</institution><institution>Ministry of Health,</institution></institution-wrap>P.O.Box 1661, Kampala, Uganda</nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>P.O.Box 1661, Kampala</wicri:regionArea><wicri:noRegion>Kampala</wicri:noRegion></affiliation></author><author><name sortKey="Mwesigwa, Gerald" sort="Mwesigwa, Gerald" uniqKey="Mwesigwa G" first="Gerald" last="Mwesigwa">Gerald Mwesigwa</name><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="GRID">grid.415705.2</institution-id><institution>Vector Control Division,</institution><institution>Ministry of Health,</institution></institution-wrap>P.O.Box 1661, Kampala, Uganda</nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>P.O.Box 1661, Kampala</wicri:regionArea><wicri:noRegion>Kampala</wicri:noRegion></affiliation></author><author><name sortKey="Ogino, Yoshitaka" sort="Ogino, Yoshitaka" uniqKey="Ogino Y" first="Yoshitaka" last="Ogino">Yoshitaka Ogino</name><affiliation><nlm:aff id="Aff5"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 0659 9825</institution-id><institution-id institution-id-type="GRID">grid.278276.e</institution-id><institution>Department of Parasitology, Kochi Medical School,</institution><institution>Kochi University,</institution></institution-wrap>Nankoku, Kochi 783-8505 Japan</nlm:aff><wicri:noCountry code="subfield">Kochi 783-8505 Japan</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff6"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 0659 9825</institution-id><institution-id institution-id-type="GRID">grid.278276.e</institution-id><institution>Department of Haematology and Respiratory Medicine, Kochi Medical School,</institution><institution>Kochi University,</institution></institution-wrap>Nankoku, Kochi 783-8505 Japan</nlm:aff><wicri:noCountry code="subfield">Kochi 783-8505 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Kimura, Eisaku" sort="Kimura, Eisaku" uniqKey="Kimura E" first="Eisaku" last="Kimura">Eisaku Kimura</name><affiliation><nlm:aff id="Aff7"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0373 3971</institution-id><institution-id institution-id-type="GRID">grid.136593.b</institution-id><institution>Department of Molecular Protozoology, Research Institute for Microbial Diseases,</institution><institution>Osaka University,</institution></institution-wrap>Suita, Osaka 565-0871 Japan</nlm:aff><wicri:noCountry code="subfield">Osaka 565-0871 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Horii, Toshihiro" sort="Horii, Toshihiro" uniqKey="Horii T" first="Toshihiro" last="Horii">Toshihiro Horii</name><affiliation><nlm:aff id="Aff7"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0373 3971</institution-id><institution-id institution-id-type="GRID">grid.136593.b</institution-id><institution>Department of Molecular Protozoology, Research Institute for Microbial Diseases,</institution><institution>Osaka University,</institution></institution-wrap>Suita, Osaka 565-0871 Japan</nlm:aff><wicri:noCountry code="subfield">Osaka 565-0871 Japan</wicri:noCountry></affiliation></author></analytic><series><title level="j">Tropical Medicine and Health</title><idno type="ISSN">1348-8945</idno><idno type="eISSN">1349-4147</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p id="Par1">A prevalence study of <italic>Wuchereria bancrofti</italic> infection was carried out in 2014 at 4 study sites in northern Uganda using antigen and microfilaria tests. Each study site consists of a primary school and surrounding communities. These sites are inside the filariasis endemic area and have been covered by mass drug administration under the national elimination programme. However, no prevalence study had been conducted there before the present study. Without information on past and present endemicity levels, our study was meant to be an independent third-party investigation to know the latest filariasis situation.</p></sec><sec><title>Results</title><p id="Par2">A total of 982 people including 570 schoolchildren (7–19 years) and 412 community people (7–25 years) were examined, all of them for filarial antigen and 695 for microfilariae. The study revealed that all subjects were negative by both methods.</p></sec><sec><title>Conclusions</title><p id="Par3">It was considered that annual mass drug administrations together with anti-malarial activities such as indoor residual spraying had contributed to the reduction of the filarial infection. However, based on the past data obtained near our study sites, we cannot exclude the possibility that filarial prevalence rates in our study sites were very low or even zero originally. During the study, we encountered several patients with lower leg edema and pachydermic (elephant skin-like), mossy skin lesion of the foot. Judging from clinical features and bare-footed life-style of people in the area, non-filarial elephantiasis, possibly podoconiosis, was suspected. This elephantiasis has been reported in areas where filariasis is not endemic.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Dreyer, G" uniqKey="Dreyer G">G Dreyer</name></author><author><name sortKey="Addiss, D" uniqKey="Addiss D">D Addiss</name></author><author><name sortKey="Roberts, J" uniqKey="Roberts J">J Roberts</name></author><author><name sortKey="Nor Es, J" uniqKey="Nor Es J">J Norões</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dreyer, G" uniqKey="Dreyer G">G Dreyer</name></author><author><name sortKey="Medeiros, Z" uniqKey="Medeiros Z">Z Medeiros</name></author><author><name sortKey="Netto, Mj" uniqKey="Netto M">MJ Netto</name></author><author><name sortKey="Leal, Nc" uniqKey="Leal N">NC Leal</name></author><author><name sortKey="De Castro, Lg" uniqKey="De Castro L">LG de Castro</name></author><author><name sortKey="Piessens, Wf" uniqKey="Piessens W">WF Piessens</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nor Es, J" uniqKey="Nor Es J">J Norões</name></author><author><name sortKey="Addiss, D" uniqKey="Addiss D">D Addiss</name></author><author><name sortKey="Cedenho, A" uniqKey="Cedenho A">A Cedenho</name></author><author><name sortKey="Figueredo Silva, J" uniqKey="Figueredo Silva J">J Figueredo-Silva</name></author><author><name sortKey="Lima, G" uniqKey="Lima G">G Lima</name></author><author><name sortKey="Dreyer, G" uniqKey="Dreyer G">G Dreyer</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Onapa, Aw" uniqKey="Onapa A">AW Onapa</name></author><author><name sortKey="Simonsen, Pe" uniqKey="Simonsen P">PE Simonsen</name></author><author><name sortKey="Pedersen, Em" uniqKey="Pedersen E">EM Pedersen</name></author><author><name sortKey="Okello, Do" uniqKey="Okello D">DO Okello</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Onapa, Aw" uniqKey="Onapa A">AW Onapa</name></author><author><name sortKey="Simonsen, Pe" uniqKey="Simonsen P">PE Simonsen</name></author><author><name sortKey="Baehr, I" uniqKey="Baehr I">I Baehr</name></author><author><name sortKey="Pedersen, Em" uniqKey="Pedersen E">EM Pedersen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Onapa, Aw" uniqKey="Onapa A">AW Onapa</name></author><author><name sortKey="Simonsen, Pe" uniqKey="Simonsen P">PE Simonsen</name></author><author><name sortKey="Pedersen, Em" uniqKey="Pedersen E">EM Pedersen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dwek, P" uniqKey="Dwek P">P Dwek</name></author><author><name sortKey="Kong, Ly" uniqKey="Kong L">LY Kong</name></author><author><name sortKey="Wafer, M" uniqKey="Wafer M">M Wafer</name></author><author><name sortKey="Cherniak, W" uniqKey="Cherniak W">W Cherniak</name></author><author><name sortKey="Pace, R" uniqKey="Pace R">R Pace</name></author><author><name sortKey="Malhame, I" uniqKey="Malhame I">I Malhamé</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stensgaard, As" uniqKey="Stensgaard A">AS Stensgaard</name></author><author><name sortKey="Vounatsou, P" uniqKey="Vounatsou P">P Vounatsou</name></author><author><name sortKey="Onapa, Aw" uniqKey="Onapa A">AW Onapa</name></author><author><name sortKey="Utzinger, J" uniqKey="Utzinger J">J Utzinger</name></author><author><name sortKey="Pedersen, Em" uniqKey="Pedersen E">EM Pedersen</name></author><author><name sortKey="Kristensen, Tk" uniqKey="Kristensen T">TK Kristensen</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Kigozi, R" uniqKey="Kigozi R">R Kigozi</name></author><author><name sortKey="Baxi, Sm" uniqKey="Baxi S">SM Baxi</name></author><author><name sortKey="Gasasira, A" uniqKey="Gasasira A">A Gasasira</name></author><author><name sortKey="Sserwanga, A" uniqKey="Sserwanga A">A Sserwanga</name></author><author><name sortKey="Kakeeto, S" uniqKey="Kakeeto S">S Kakeeto</name></author><author><name sortKey="Nasr, S" uniqKey="Nasr S">S Nasr</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Ashton, Ra" uniqKey="Ashton R">RA Ashton</name></author><author><name sortKey="Kyabayinze, Dj" uniqKey="Kyabayinze D">DJ Kyabayinze</name></author><author><name sortKey="Opio, T" uniqKey="Opio T">T Opio</name></author><author><name sortKey="Auma, A" uniqKey="Auma A">A Auma</name></author><author><name sortKey="Edwards, T" uniqKey="Edwards T">T Edwards</name></author><author><name sortKey="Matwale, G" uniqKey="Matwale G">G Matwale</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Kolaczinski, Jh" uniqKey="Kolaczinski J">JH 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Burlinson</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Japon</li><li>Ouganda</li></country></list><tree><noCountry><name sortKey="Horii, Toshihiro" sort="Horii, Toshihiro" uniqKey="Horii T" first="Toshihiro" last="Horii">Toshihiro Horii</name><name sortKey="Kimura, Eisaku" sort="Kimura, Eisaku" uniqKey="Kimura E" first="Eisaku" last="Kimura">Eisaku Kimura</name><name sortKey="Ogino, Yoshitaka" sort="Ogino, Yoshitaka" uniqKey="Ogino Y" first="Yoshitaka" last="Ogino">Yoshitaka Ogino</name></noCountry><country name="Ouganda"><noRegion><name sortKey="Odongo Aginya, Emmanuel Igwaro" sort="Odongo Aginya, Emmanuel Igwaro" uniqKey="Odongo Aginya E" first="Emmanuel Igwaro" last="Odongo-Aginya">Emmanuel Igwaro Odongo-Aginya</name></noRegion><name sortKey="Auma, Anna Mary" sort="Auma, Anna Mary" uniqKey="Auma A" first="Anna Mary" last="Auma">Anna Mary Auma</name><name sortKey="Egitat, Geoffrey" sort="Egitat, Geoffrey" uniqKey="Egitat G" first="Geoffrey" last="Egitat">Geoffrey Egitat</name><name sortKey="Luwa, Kilama Justin" sort="Luwa, Kilama Justin" uniqKey="Luwa K" first="Kilama Justin" last="Luwa">Kilama Justin Luwa</name><name sortKey="Mwesigwa, Gerald" sort="Mwesigwa, Gerald" uniqKey="Mwesigwa G" first="Gerald" last="Mwesigwa">Gerald Mwesigwa</name><name sortKey="Olia, Alex" sort="Olia, Alex" uniqKey="Olia A" first="Alex" last="Olia">Alex Olia</name></country><country name="Japon"><noRegion><name sortKey="Nagayasu, Eiji" sort="Nagayasu, Eiji" uniqKey="Nagayasu E" first="Eiji" last="Nagayasu">Eiji Nagayasu</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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