Evaluation of mass drug administration in the program to control imported lymphatic filariasis in Thailand
Identifieur interne : 001E16 ( Main/Exploration ); précédent : 001E15; suivant : 001E17Evaluation of mass drug administration in the program to control imported lymphatic filariasis in Thailand
Auteurs : Tanaporn Toothong [Thaïlande] ; Mathuros Tipayamongkholgul [Thaïlande] ; Nawarat Suwannapong [Thaïlande] ; Saravudh Suvannadabba [Thaïlande]Source :
- BMC Public Health [ 1471-2458 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Animaux, Contrôle des maladies contagieuses (), Diéthylcarbamazine (administration et posologie), Diéthylcarbamazine (usage thérapeutique), Facteurs socioéconomiques, Femelle, Filaricides (administration et posologie), Filaricides (usage thérapeutique), Filariose lymphatique (), Filariose lymphatique (traitement médicamenteux), Humains, Myanmar, Mâle, Prévalence, Thaïlande (épidémiologie), Wuchereria bancrofti, Émigrants et immigrants, Études transversales.
- MESH :
- administration et posologie : Diéthylcarbamazine, Filaricides.
- traitement médicamenteux : Filariose lymphatique.
- usage thérapeutique : Diéthylcarbamazine, Filaricides.
- épidémiologie : Thaïlande.
- Adulte, Adulte d'âge moyen, Animaux, Contrôle des maladies contagieuses, Facteurs socioéconomiques, Femelle, Filariose lymphatique, Humains, Myanmar, Mâle, Prévalence, Wuchereria bancrofti, Émigrants et immigrants, Études transversales.
- Wicri :
- geographic : Thaïlande.
English descriptors
- KwdEn :
- Adult, Animals, Communicable Disease Control (methods), Cross-Sectional Studies, Diethylcarbamazine (administration & dosage), Diethylcarbamazine (therapeutic use), Elephantiasis, Filarial (drug therapy), Elephantiasis, Filarial (prevention & control), Emigrants and Immigrants, Female, Filaricides (administration & dosage), Filaricides (therapeutic use), Humans, Male, Middle Aged, Myanmar, Prevalence, Socioeconomic Factors, Thailand (epidemiology), Wuchereria bancrofti.
- MESH :
- chemical , administration & dosage : Diethylcarbamazine, Filaricides.
- geographic , epidemiology : Thailand.
- geographic : Myanmar.
- drug therapy : Elephantiasis, Filarial.
- methods : Communicable Disease Control.
- prevention & control : Elephantiasis, Filarial.
- chemical , therapeutic use : Diethylcarbamazine, Filaricides.
- Adult, Animals, Cross-Sectional Studies, Emigrants and Immigrants, Female, Humans, Male, Middle Aged, Prevalence, Socioeconomic Factors, Wuchereria bancrofti.
Abstract
Migration plays a major role in the emergence and resurgence of lymphatic filariasis (LF) in many countries. Because of the high prevalence of Imported Bancroftian Filariasis (IBF) caused by nocturnally periodic
A cross-sectional study with two-stage stratified cluster sampling was conducted. We selected Myanmar immigrants aged >18 years from factory and fishery areas of Samut Sakhon Province for interview with a structured questionnaire. We also interviewed health personnel regarding the functions of the LF program and practice of DEC delivery among immigrants. Associations were measured by multiple logistic regression, at P <0.05.
DEC coverage among the immigrants was 75 %, below the national target. All had received DEC only once during health examinations at general hospitals for work permit renewals. None of the health centers in each community provided DEC. Significant barriers to DEC access included being undocumented (adjusted OR = 74.23; 95 % CI = 26.32–209.34), unemployed (adjusted OR = 5.09; 95 % CI = 3.39–7.64), daily employed (adjusted OR = 4.33; 95 % CI = 2.91–6.46), short-term immigrant (adjusted OR = 1.62; 95 % CI = 1.04–2.52) and living in a fishery area (adjusted OR = 1.57; 95 % CI = 1.04–2.52). Incorrect perceptions about the side-effects of DEC also obstructed DEC access for Myanmar immigrants. All positive LF antigenic immigrants reported visiting and emigrating from LF-endemic areas.
Hospital-based DEC administration was an inappropriate approach to DEC delivery in areas with highly mobile Myanmar immigrants. Incorporating health-center personnel in DEC delivery twice yearly and improving the perceptions of DEC side effects would likely increase DEC coverage among Myanmar immigrants.
Url:
DOI: 10.1186/s12889-015-2325-x
PubMed: 26415693
PubMed Central: 4587715
Affiliations:
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Bangkok, 10400 Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Department of Epidemiology, Faculty of Public Health, Mahidol University, 420/1 Rajvithi Road, Ratchathewi, Bangkok</wicri:regionArea><wicri:noRegion>Bangkok</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Disease Control, Ministry of Public Health, Nonthaburi, 11000 Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Department of Disease Control, Ministry of Public Health, Nonthaburi</wicri:regionArea><wicri:noRegion>Nonthaburi</wicri:noRegion></affiliation></author><author><name sortKey="Tipayamongkholgul, Mathuros" sort="Tipayamongkholgul, Mathuros" uniqKey="Tipayamongkholgul M" first="Mathuros" last="Tipayamongkholgul">Mathuros Tipayamongkholgul</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Epidemiology, Faculty of Public Health, Mahidol University, 420/1 Rajvithi Road, Ratchathewi, Bangkok, 10400 Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Department of Epidemiology, Faculty of Public Health, Mahidol University, 420/1 Rajvithi Road, Ratchathewi, Bangkok</wicri:regionArea><wicri:noRegion>Bangkok</wicri:noRegion></affiliation></author><author><name sortKey="Suwannapong, Nawarat" sort="Suwannapong, Nawarat" uniqKey="Suwannapong N" first="Nawarat" last="Suwannapong">Nawarat Suwannapong</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Department of Public Health Administration, Faculty of Public Health, Mahidol University, 420/1 Rajvithi Road, Ratchathewi, Bangkok, 10400 Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Department of Public Health Administration, Faculty of Public Health, Mahidol University, 420/1 Rajvithi Road, Ratchathewi, Bangkok</wicri:regionArea><wicri:noRegion>Bangkok</wicri:noRegion></affiliation></author><author><name sortKey="Suvannadabba, Saravudh" sort="Suvannadabba, Saravudh" uniqKey="Suvannadabba S" first="Saravudh" last="Suvannadabba">Saravudh Suvannadabba</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Disease Control, Ministry of Public Health, Nonthaburi, 11000 Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Department of Disease Control, Ministry of Public Health, Nonthaburi</wicri:regionArea><wicri:noRegion>Nonthaburi</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Public Health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Animals</term><term>Communicable Disease Control (methods)</term><term>Cross-Sectional Studies</term><term>Diethylcarbamazine (administration & dosage)</term><term>Diethylcarbamazine (therapeutic use)</term><term>Elephantiasis, Filarial (drug therapy)</term><term>Elephantiasis, Filarial (prevention & control)</term><term>Emigrants and Immigrants</term><term>Female</term><term>Filaricides (administration & dosage)</term><term>Filaricides (therapeutic use)</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Myanmar</term><term>Prevalence</term><term>Socioeconomic Factors</term><term>Thailand (epidemiology)</term><term>Wuchereria bancrofti</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Animaux</term><term>Contrôle des maladies contagieuses ()</term><term>Diéthylcarbamazine (administration et posologie)</term><term>Diéthylcarbamazine (usage thérapeutique)</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Filaricides (administration et posologie)</term><term>Filaricides (usage thérapeutique)</term><term>Filariose lymphatique ()</term><term>Filariose lymphatique (traitement médicamenteux)</term><term>Humains</term><term>Myanmar</term><term>Mâle</term><term>Prévalence</term><term>Thaïlande (épidémiologie)</term><term>Wuchereria bancrofti</term><term>Émigrants et immigrants</term><term>Études transversales</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Diethylcarbamazine</term><term>Filaricides</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Thailand</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Myanmar</term></keywords><keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Diéthylcarbamazine</term><term>Filaricides</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Elephantiasis, Filarial</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Communicable Disease Control</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Elephantiasis, Filarial</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Diethylcarbamazine</term><term>Filaricides</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Filariose lymphatique</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Diéthylcarbamazine</term><term>Filaricides</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Thaïlande</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Animals</term><term>Cross-Sectional Studies</term><term>Emigrants and Immigrants</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Prevalence</term><term>Socioeconomic Factors</term><term>Wuchereria bancrofti</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Animaux</term><term>Contrôle des maladies contagieuses</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Filariose lymphatique</term><term>Humains</term><term>Myanmar</term><term>Mâle</term><term>Prévalence</term><term>Wuchereria bancrofti</term><term>Émigrants et immigrants</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Thaïlande</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Migration plays a major role in the emergence and resurgence of lymphatic filariasis (LF) in many countries. Because of the high prevalence of Imported Bancroftian Filariasis (IBF) caused by nocturnally periodic <italic>Wuchereria bancrofti</italic> and the intensive movement of immigrant workers from endemic areas, Thailand has implemented two doses of 6 mg/kg diethylcarbamazine (DEC) with interval of 6 months to prevent IBF. In areas where immigrants are very mobile, the administration of DEC may be compromised. This study aimed to evaluate DEC administration and its barriers in such areas.</p></sec><sec><title>Methods</title><p>A cross-sectional study with two-stage stratified cluster sampling was conducted. We selected Myanmar immigrants aged >18 years from factory and fishery areas of Samut Sakhon Province for interview with a structured questionnaire. We also interviewed health personnel regarding the functions of the LF program and practice of DEC delivery among immigrants. Associations were measured by multiple logistic regression, at P <0.05.</p></sec><sec><title>Results</title><p>DEC coverage among the immigrants was 75 %, below the national target. All had received DEC only once during health examinations at general hospitals for work permit renewals. None of the health centers in each community provided DEC. Significant barriers to DEC access included being undocumented (adjusted OR = 74.23; 95 % CI = 26.32–209.34), unemployed (adjusted OR = 5.09; 95 % CI = 3.39–7.64), daily employed (adjusted OR = 4.33; 95 % CI = 2.91–6.46), short-term immigrant (adjusted OR = 1.62; 95 % CI = 1.04–2.52) and living in a fishery area (adjusted OR = 1.57; 95 % CI = 1.04–2.52). Incorrect perceptions about the side-effects of DEC also obstructed DEC access for Myanmar immigrants. All positive LF antigenic immigrants reported visiting and emigrating from LF-endemic areas.</p></sec><sec><title>Conclusion</title><p>Hospital-based DEC administration was an inappropriate approach to DEC delivery in areas with highly mobile Myanmar immigrants. Incorporating health-center personnel in DEC delivery twice yearly and improving the perceptions of DEC side effects would likely increase DEC coverage among Myanmar immigrants.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Ramaiah, Kd" uniqKey="Ramaiah K">KD Ramaiah</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Barnett, Ed" uniqKey="Barnett E">ED Barnett</name></author><author><name sortKey="Walker, Pf" uniqKey="Walker P">PF Walker</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nithikathkul, C" uniqKey="Nithikathkul C">C Nithikathkul</name></author><author><name sortKey="Wannapinyosheep, S" uniqKey="Wannapinyosheep S">S Wannapinyosheep</name></author><author><name sortKey="Saichua, P" uniqKey="Saichua P">P Saichua</name></author><author><name sortKey="Nithikathkul, M" uniqKey="Nithikathkul M">M 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Weerasooriya</name></author><author><name sortKey="Yahathugoda, Ct" uniqKey="Yahathugoda C">CT Yahathugoda</name></author><author><name sortKey="Wickramasinghe, D" uniqKey="Wickramasinghe D">D Wickramasinghe</name></author><author><name sortKey="Gunawardena, Kn" uniqKey="Gunawardena K">KN Gunawardena</name></author><author><name sortKey="Dharmadasa, Ra" uniqKey="Dharmadasa R">RA Dharmadasa</name></author><author><name sortKey="Vidanapathrana, Kk" uniqKey="Vidanapathrana K">KK Vidanapathrana</name></author><author><name sortKey="Weerasekara, Sh" uniqKey="Weerasekara S">SH Weerasekara</name></author><author><name sortKey="Samarawickrema, Wa" uniqKey="Samarawickrema W">WA Samarawickrema</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nujum, Zt" uniqKey="Nujum Z">ZT Nujum</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hoges, Mh" uniqKey="Hoges M">MH Hoges</name></author><author><name sortKey="Smith, Sj" uniqKey="Smith S">SJ Smith</name></author><author><name sortKey="Fussum, D" uniqKey="Fussum D">D Fussum</name></author><author><name sortKey="Koroma, J" uniqKey="Koroma J">J Koroma</name></author><author><name sortKey="Conteh, A" uniqKey="Conteh A">A Conteh</name></author><author><name sortKey="Sonnie, M" uniqKey="Sonnie M">M Sonnie</name></author><author><name sortKey="Sesay, S" uniqKey="Sesay S">S Sesay</name></author><author><name sortKey="Zhang, Y" uniqKey="Zhang Y">Y Zhang</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Thaïlande</li></country></list><tree><country name="Thaïlande"><noRegion><name sortKey="Toothong, Tanaporn" sort="Toothong, Tanaporn" uniqKey="Toothong T" first="Tanaporn" last="Toothong">Tanaporn Toothong</name></noRegion><name sortKey="Suvannadabba, Saravudh" sort="Suvannadabba, Saravudh" uniqKey="Suvannadabba S" first="Saravudh" last="Suvannadabba">Saravudh Suvannadabba</name><name sortKey="Suwannapong, Nawarat" sort="Suwannapong, Nawarat" uniqKey="Suwannapong N" first="Nawarat" last="Suwannapong">Nawarat Suwannapong</name><name sortKey="Tipayamongkholgul, Mathuros" sort="Tipayamongkholgul, Mathuros" uniqKey="Tipayamongkholgul M" first="Mathuros" last="Tipayamongkholgul">Mathuros Tipayamongkholgul</name><name sortKey="Toothong, Tanaporn" sort="Toothong, Tanaporn" uniqKey="Toothong T" first="Tanaporn" last="Toothong">Tanaporn Toothong</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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