Shrinking the Lymphatic Filariasis Map of Ethiopia: Reassessing the Population at Risk through Nationwide Mapping
Identifieur interne : 001836 ( Main/Exploration ); précédent : 001835; suivant : 001837Shrinking the Lymphatic Filariasis Map of Ethiopia: Reassessing the Population at Risk through Nationwide Mapping
Auteurs : Maria P. Rebollo [Royaume-Uni] ; Heven Sime [Éthiopie] ; Ashenafi Assefa [Éthiopie] ; Jorge Cano [Royaume-Uni] ; Kebede Deribe [Royaume-Uni, Éthiopie] ; Alba Gonzalez-Escalada [Espagne] ; Oumer Shafi [Éthiopie] ; Gail Davey [Royaume-Uni] ; Simon J. Brooker [Royaume-Uni] ; Amha Kebede [Éthiopie] ; Moses J. Bockarie [Royaume-Uni]Source :
- PLoS Neglected Tropical Diseases [ 1935-2727 ] ; 2015.
Descripteurs français
- KwdFr :
- MESH :
- Wicri :
- geographic : Éthiopie.
English descriptors
- KwdEn :
- MESH :
- geographic , epidemiology : Ethiopia.
- epidemiology : Elephantiasis, Filarial.
- Adolescent, Adult, Aged, Aged, 80 and over, Cross-Sectional Studies, Endemic Diseases, Female, Humans, Male, Middle Aged, Prevalence, Risk Assessment, Topography, Medical, Young Adult.
Abstract
Mapping of lymphatic filariasis (LF) is essential for the delineation of endemic implementation units and determining the population at risk that will be targeted for mass drug administration (MDA). Prior to the current study, only 116 of the 832 woredas (districts) in Ethiopia had been mapped for LF. The aim of this study was to perform a nationwide mapping exercise to determine the number of people that should be targeted for MDA in 2016 when national coverage was anticipated.
A two-stage cluster purposive sampling was used to conduct a community-based cross-sectional survey for an integrated mapping of LF and podoconiosis, in seven regional states and two city administrations. Two communities in each woreda were purposely selected using the World Health Organization (WHO) mapping strategy for LF based on sampling 100 individuals per community and two purposely selected communities per woreda. Overall, 130 166 people were examined in 1315 communities in 658 woredas. In total, 140 people were found to be positive for circulating LF antigen by immunochromatographic card test (ICT) in 89 communities. Based on WHO guidelines, 75 of the 658 woredas surveyed in the nine regions were found to be endemic for LF with a 2016 projected population of 9 267 410 residing in areas of active disease transmission. Combining these results with other data it is estimated that 11 580 010 people in 112 woredas will be exposed to infection in 2016.
We have conducted nationwide mapping of LF in Ethiopia and demonstrated that the number of people living in LF endemic areas is 60% lower than current estimates. We also showed that integrated mapping of multiple NTDs is feasible and cost effective and if properly planned, can be quickly achieved at national scale.
Url:
DOI: 10.1371/journal.pntd.0004172
PubMed: 26539700
PubMed Central: 4634982
Affiliations:
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Rebollo">Maria P. Rebollo</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Centre for Neglected Tropical Diseases, Department of Parasitology, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Centre for Neglected Tropical Diseases, Department of Parasitology, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool</wicri:regionArea><wicri:noRegion>Liverpool</wicri:noRegion></affiliation></author><author><name sortKey="Sime, Heven" sort="Sime, Heven" uniqKey="Sime H" first="Heven" last="Sime">Heven Sime</name><affiliation wicri:level="1"><nlm:aff id="aff002"><addr-line>Ethiopian Public Health Institute, Addis Ababa, Ethiopia</addr-line></nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Ethiopian Public Health Institute, Addis Ababa</wicri:regionArea><wicri:noRegion>Addis Ababa</wicri:noRegion></affiliation></author><author><name sortKey="Assefa, Ashenafi" sort="Assefa, Ashenafi" uniqKey="Assefa A" first="Ashenafi" last="Assefa">Ashenafi Assefa</name><affiliation wicri:level="1"><nlm:aff id="aff002"><addr-line>Ethiopian Public Health Institute, Addis Ababa, Ethiopia</addr-line></nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Ethiopian Public Health Institute, Addis Ababa</wicri:regionArea><wicri:noRegion>Addis Ababa</wicri:noRegion></affiliation></author><author><name sortKey="Cano, Jorge" sort="Cano, Jorge" uniqKey="Cano J" first="Jorge" last="Cano">Jorge Cano</name><affiliation wicri:level="3"><nlm:aff id="aff003"><addr-line>London School of Hygiene & Tropical Medicine, London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>London School of Hygiene & Tropical Medicine, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Deribe, Kebede" sort="Deribe, Kebede" uniqKey="Deribe K" first="Kebede" last="Deribe">Kebede Deribe</name><affiliation wicri:level="1"><nlm:aff id="aff004"><addr-line>Brighton and Sussex Medical School, Falmer, Brighton, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Brighton and Sussex Medical School, Falmer, Brighton</wicri:regionArea><wicri:noRegion>Brighton</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff005"><addr-line>School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia</addr-line></nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>School of Public Health, Addis Ababa University, Addis Ababa</wicri:regionArea><wicri:noRegion>Addis Ababa</wicri:noRegion></affiliation></author><author><name sortKey="Gonzalez Escalada, Alba" sort="Gonzalez Escalada, Alba" uniqKey="Gonzalez Escalada A" first="Alba" last="Gonzalez-Escalada">Alba Gonzalez-Escalada</name><affiliation wicri:level="3"><nlm:aff id="aff006"><addr-line>Faculty of Infectious and Tropical Diseases, Rey Juan Carlos University, Madrid, Spain</addr-line></nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Faculty of Infectious and Tropical Diseases, Rey Juan Carlos University, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Shafi, Oumer" sort="Shafi, Oumer" uniqKey="Shafi O" first="Oumer" last="Shafi">Oumer Shafi</name><affiliation wicri:level="1"><nlm:aff id="aff007"><addr-line>Federal Ministry of Health, Addis Ababa, Ethiopia</addr-line></nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Federal Ministry of Health, Addis Ababa</wicri:regionArea><wicri:noRegion>Addis Ababa</wicri:noRegion></affiliation></author><author><name sortKey="Davey, Gail" sort="Davey, Gail" uniqKey="Davey G" first="Gail" last="Davey">Gail Davey</name><affiliation wicri:level="1"><nlm:aff id="aff004"><addr-line>Brighton and Sussex Medical School, Falmer, Brighton, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Brighton and Sussex Medical School, Falmer, Brighton</wicri:regionArea><wicri:noRegion>Brighton</wicri:noRegion></affiliation></author><author><name sortKey="Brooker, Simon J" sort="Brooker, Simon J" uniqKey="Brooker S" first="Simon J." last="Brooker">Simon J. Brooker</name><affiliation wicri:level="3"><nlm:aff id="aff003"><addr-line>London School of Hygiene & Tropical Medicine, London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>London School of Hygiene & Tropical Medicine, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Kebede, Amha" sort="Kebede, Amha" uniqKey="Kebede A" first="Amha" last="Kebede">Amha Kebede</name><affiliation wicri:level="1"><nlm:aff id="aff002"><addr-line>Ethiopian Public Health Institute, Addis Ababa, Ethiopia</addr-line></nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Ethiopian Public Health Institute, Addis Ababa</wicri:regionArea><wicri:noRegion>Addis Ababa</wicri:noRegion></affiliation></author><author><name sortKey="Bockarie, Moses J" sort="Bockarie, Moses J" uniqKey="Bockarie M" first="Moses J." last="Bockarie">Moses J. Bockarie</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Centre for Neglected Tropical Diseases, Department of Parasitology, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Centre for Neglected Tropical Diseases, Department of Parasitology, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool</wicri:regionArea><wicri:noRegion>Liverpool</wicri:noRegion></affiliation></author></analytic><series><title level="j">PLoS Neglected Tropical Diseases</title><idno type="ISSN">1935-2727</idno><idno type="eISSN">1935-2735</idno><imprint><date when="2015">2015</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>Cross-Sectional Studies</term><term>Elephantiasis, Filarial (epidemiology)</term><term>Endemic Diseases</term><term>Ethiopia (epidemiology)</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Prevalence</term><term>Risk Assessment</term><term>Topography, Medical</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>Femelle</term><term>Filariose lymphatique (épidémiologie)</term><term>Humains</term><term>Jeune adulte</term><term>Maladies endémiques</term><term>Mâle</term><term>Prévalence</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Topographie médicale</term><term>Éthiopie (épidémiologie)</term><term>Études transversales</term><term>Évaluation des risques</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Ethiopia</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Elephantiasis, Filarial</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Filariose lymphatique</term><term>Éthiopie</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Cross-Sectional Studies</term><term>Endemic Diseases</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Prevalence</term><term>Risk Assessment</term><term>Topography, Medical</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>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Maladies endémiques</term><term>Mâle</term><term>Prévalence</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Topographie médicale</term><term>Études transversales</term><term>Évaluation des risques</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Éthiopie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="sec001"><title>Background</title><p>Mapping of lymphatic filariasis (LF) is essential for the delineation of endemic implementation units and determining the population at risk that will be targeted for mass drug administration (MDA). Prior to the current study, only 116 of the 832 woredas (districts) in Ethiopia had been mapped for LF. The aim of this study was to perform a nationwide mapping exercise to determine the number of people that should be targeted for MDA in 2016 when national coverage was anticipated.</p></sec><sec id="sec002"><title>Methodology/Principal Finding</title><p>A two-stage cluster purposive sampling was used to conduct a community-based cross-sectional survey for an integrated mapping of LF and podoconiosis, in seven regional states and two city administrations. Two communities in each woreda were purposely selected using the World Health Organization (WHO) mapping strategy for LF based on sampling 100 individuals per community and two purposely selected communities per woreda. Overall, 130 166 people were examined in 1315 communities in 658 woredas. In total, 140 people were found to be positive for circulating LF antigen by immunochromatographic card test (ICT) in 89 communities. Based on WHO guidelines, 75 of the 658 woredas surveyed in the nine regions were found to be endemic for LF with a 2016 projected population of 9 267 410 residing in areas of active disease transmission. Combining these results with other data it is estimated that 11 580 010 people in 112 woredas will be exposed to infection in 2016.</p></sec><sec id="sec003"><title>Conclusions</title><p>We have conducted nationwide mapping of LF in Ethiopia and demonstrated that the number of people living in LF endemic areas is 60% lower than current estimates. We also showed that integrated mapping of multiple NTDs is feasible and cost effective and if properly planned, can be quickly achieved at national scale.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Bockarie, Mj" uniqKey="Bockarie M">MJ Bockarie</name></author><author><name sortKey="Pedersen, Em" uniqKey="Pedersen E">EM Pedersen</name></author><author><name sortKey="White, Gb" uniqKey="White G">GB White</name></author><author><name sortKey="Michael, E" uniqKey="Michael E">E Michael</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Ottesen, Ea" uniqKey="Ottesen E">EA Ottesen</name></author><author><name sortKey="Duke, Bo" uniqKey="Duke B">BO Duke</name></author><author><name sortKey="Karam, M" uniqKey="Karam M">M Karam</name></author><author><name sortKey="Behbehani, K" uniqKey="Behbehani K">K 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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></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Hawking, F" uniqKey="Hawking F">F Hawking</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hawking, F" uniqKey="Hawking F">F Hawking</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mcconnel, E" uniqKey="Mcconnel E">E McConnel</name></author><author><name sortKey="Schmidt, Ml" uniqKey="Schmidt M">ML Schmidt</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sasa, M" uniqKey="Sasa M">M Sasa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Shiferaw, W" uniqKey="Shiferaw W">W Shiferaw</name></author><author><name sortKey="Kebede, T" uniqKey="Kebede T">T 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Sime</name></author><author><name sortKey="Deribe, K" uniqKey="Deribe K">K Deribe</name></author><author><name sortKey="Assefa, A" uniqKey="Assefa A">A Assefa</name></author><author><name sortKey="Newport, Mj" uniqKey="Newport M">MJ Newport</name></author><author><name sortKey="Enquselassie, F" uniqKey="Enquselassie F">F Enquselassie</name></author><author><name sortKey="Gebretsadik, A" uniqKey="Gebretsadik A">A Gebretsadik</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Baker, Mc" uniqKey="Baker M">MC Baker</name></author><author><name sortKey="Mathieu, E" uniqKey="Mathieu E">E Mathieu</name></author><author><name sortKey="Fleming, Fm" uniqKey="Fleming F">FM Fleming</name></author><author><name sortKey="Deming, M" uniqKey="Deming M">M Deming</name></author><author><name sortKey="King, Jd" uniqKey="King J">JD King</name></author><author><name sortKey="Garba, A" uniqKey="Garba A">A Garba</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jemaneh, L" uniqKey="Jemaneh L">L Jemaneh</name></author><author><name sortKey="Kebede, D" uniqKey="Kebede D">D Kebede</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mcconnell, E" uniqKey="Mcconnell E">E McConnell</name></author><author><name sortKey="Dennis, Dt" uniqKey="Dennis D">DT Dennis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Oomen, Ap" uniqKey="Oomen A">AP Oomen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Oomen, Ap" uniqKey="Oomen A">AP Oomen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ughasi, J" uniqKey="Ughasi J">J Ughasi</name></author><author><name sortKey="Bekard, He" uniqKey="Bekard H">HE Bekard</name></author><author><name sortKey="Coulibaly, M" uniqKey="Coulibaly M">M Coulibaly</name></author><author><name sortKey="Adabie Gomez, D" uniqKey="Adabie Gomez D">D Adabie-Gomez</name></author><author><name sortKey="Gyapong, J" uniqKey="Gyapong J">J Gyapong</name></author><author><name sortKey="Appawu, M" uniqKey="Appawu M">M Appawu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wijers, Dj" uniqKey="Wijers D">DJ Wijers</name></author><author><name sortKey="Kiilu, G" uniqKey="Kiilu G">G Kiilu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mcmahon, Je" uniqKey="Mcmahon J">JE McMahon</name></author><author><name sortKey="Magayauka, Sa" uniqKey="Magayauka S">SA Magayauka</name></author><author><name sortKey="Kolstrup, N" uniqKey="Kolstrup N">N Kolstrup</name></author><author><name sortKey="Mosha, Fw" uniqKey="Mosha F">FW Mosha</name></author><author><name sortKey="Bushrod, Fm" uniqKey="Bushrod F">FM Bushrod</name></author><author><name sortKey="Abaru, De" uniqKey="Abaru D">DE Abaru</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Southgate, Ba" uniqKey="Southgate B">BA Southgate</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cano, J" uniqKey="Cano J">J Cano</name></author><author><name sortKey="Rebollo, Mp" uniqKey="Rebollo M">MP Rebollo</name></author><author><name sortKey="Golding, N" uniqKey="Golding N">N Golding</name></author><author><name sortKey="Pullan, Rl" uniqKey="Pullan R">RL Pullan</name></author><author><name sortKey="Crellen, T" uniqKey="Crellen T">T Crellen</name></author><author><name sortKey="Soler, A" uniqKey="Soler A">A Soler</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lindsay, Sw" uniqKey="Lindsay S">SW Lindsay</name></author><author><name sortKey="Thomas, Cj" uniqKey="Thomas C">CJ Thomas</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Slater, H" uniqKey="Slater H">H Slater</name></author><author><name sortKey="Michael, E" uniqKey="Michael E">E Michael</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Espagne</li><li>Royaume-Uni</li><li>Éthiopie</li></country><region><li>Angleterre</li><li>Communauté de Madrid</li><li>Grand Londres</li></region><settlement><li>Londres</li><li>Madrid</li></settlement></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="P Rebollo, Maria" sort="P Rebollo, Maria" uniqKey="P Rebollo M" first="Maria" last="P. Rebollo">Maria P. Rebollo</name></noRegion><name sortKey="Bockarie, Moses J" sort="Bockarie, Moses J" uniqKey="Bockarie M" first="Moses J." last="Bockarie">Moses J. Bockarie</name><name sortKey="Brooker, Simon J" sort="Brooker, Simon J" uniqKey="Brooker S" first="Simon J." last="Brooker">Simon J. Brooker</name><name sortKey="Cano, Jorge" sort="Cano, Jorge" uniqKey="Cano J" first="Jorge" last="Cano">Jorge Cano</name><name sortKey="Davey, Gail" sort="Davey, Gail" uniqKey="Davey G" first="Gail" last="Davey">Gail Davey</name><name sortKey="Deribe, Kebede" sort="Deribe, Kebede" uniqKey="Deribe K" first="Kebede" last="Deribe">Kebede Deribe</name></country><country name="Éthiopie"><noRegion><name sortKey="Sime, Heven" sort="Sime, Heven" uniqKey="Sime H" first="Heven" last="Sime">Heven Sime</name></noRegion><name sortKey="Assefa, Ashenafi" sort="Assefa, Ashenafi" uniqKey="Assefa A" first="Ashenafi" last="Assefa">Ashenafi Assefa</name><name sortKey="Deribe, Kebede" sort="Deribe, Kebede" uniqKey="Deribe K" first="Kebede" last="Deribe">Kebede Deribe</name><name sortKey="Kebede, Amha" sort="Kebede, Amha" uniqKey="Kebede A" first="Amha" last="Kebede">Amha Kebede</name><name sortKey="Shafi, Oumer" sort="Shafi, Oumer" uniqKey="Shafi O" first="Oumer" last="Shafi">Oumer Shafi</name></country><country name="Espagne"><region name="Communauté de Madrid"><name sortKey="Gonzalez Escalada, Alba" sort="Gonzalez Escalada, Alba" uniqKey="Gonzalez Escalada A" first="Alba" last="Gonzalez-Escalada">Alba Gonzalez-Escalada</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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