Impact of MDA and the prospects of elimination of the lone focus of diurnally sub periodic lymphatic filariasis in Nicobar Islands, India.
Identifieur interne : 002A00 ( Main/Exploration ); précédent : 002999; suivant : 002A01Impact of MDA and the prospects of elimination of the lone focus of diurnally sub periodic lymphatic filariasis in Nicobar Islands, India.
Auteurs : A N Shriram [Inde] ; K. Krishnamoorthy [Inde] ; Arun Sivan [Inde] ; B P Saha [Inde] ; V. Kumaraswami [Inde] ; P. Vijayachari [Inde]Source :
- Acta tropica [ 1873-6254 ] ; 2014.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Aedes (croissance et développement), Animaux, Antihelminthiques (usage thérapeutique), Démographie, Enfant, Enfant d'âge préscolaire, Femelle, Filariose lymphatique (), Filariose lymphatique (traitement médicamenteux), Filariose lymphatique (transmission), Filariose lymphatique (épidémiologie), Humains, Iles (épidémiologie), Inde (épidémiologie), Jeune adulte, Mâle, Nourrisson, Nouveau-né, Prévalence, Sujet âgé, Sujet âgé de 80 ans ou plus, Traitement médicamenteux (), Vecteurs insectes, Éradication de maladie (), Études transversales.
- MESH :
- croissance et développement : Aedes.
- traitement médicamenteux : Filariose lymphatique.
- usage thérapeutique : Antihelminthiques, Filariose lymphatique.
- épidémiologie : Filariose lymphatique, Iles, Inde.
- Adolescent, Adulte, Adulte d'âge moyen, Animaux, Démographie, Enfant, Enfant d'âge préscolaire, Femelle, Filariose lymphatique, Humains, Jeune adulte, Mâle, Nourrisson, Nouveau-né, Prévalence, Sujet âgé, Sujet âgé de 80 ans ou plus, Traitement médicamenteux, Vecteurs insectes, Éradication de maladie, Études transversales.
- Wicri :
- geographic : Inde.
English descriptors
- KwdEn :
- Adolescent, Adult, Aedes (growth & development), Aged, Aged, 80 and over, Animals, Anthelmintics (therapeutic use), Child, Child, Preschool, Cross-Sectional Studies, Demography, Disease Eradication (methods), Drug Therapy (methods), Elephantiasis, Filarial (drug therapy), Elephantiasis, Filarial (epidemiology), Elephantiasis, Filarial (prevention & control), Elephantiasis, Filarial (transmission), Female, Humans, India (epidemiology), Infant, Infant, Newborn, Insect Vectors, Islands (epidemiology), Male, Middle Aged, Prevalence, Young Adult.
- MESH :
- chemical , therapeutic use : Anthelmintics.
- geographic , epidemiology : India.
- drug therapy : Elephantiasis, Filarial.
- epidemiology : Elephantiasis, Filarial, Islands.
- growth & development : Aedes.
- methods : Disease Eradication, Drug Therapy.
- prevention & control : Elephantiasis, Filarial.
- transmission : Elephantiasis, Filarial.
- Adolescent, Adult, Aged, Aged, 80 and over, Animals, Child, Child, Preschool, Cross-Sectional Studies, Demography, Female, Humans, Infant, Infant, Newborn, Insect Vectors, Male, Middle Aged, Prevalence, Young Adult.
Abstract
Mass Drug Administration is being carried out in Andaman and Nicobar Islands, India since 2004. Cross sectional microfilaria (Mf) survey was conducted in Nancowry group of islands, the lone foci of diurnally sub periodic form of bancroftian filariasis in Nicobar district, to examine its eligibility for Transmission Assessment Survey (TAS). A total of 2561 individuals (coverage: 23.9%) were screened from five islands. The overall Mf prevalence was 3.28%. Except one island, all other islands recorded Mf prevalence >1%, ranging from 2.5% to 5.3%, indicating persistence of infection despite six annual rounds of MDA. Mf prevalence was age dependent and was higher among males, but not significantly different between genders. Age and gender specific analysis showed a significant reduction in all the age classes among females vis a vis pre-MDA prevalence while the reduction was significant only in 21-30 and 41-50 age classes in males. Exposure to day biting and forest dwelling Downsiomyia nivea can be attributed for the persistent infection besides non-compliance for MDA. Based on fits of modified negative binomial distribution, true prevalence of Mf carriers in the community was estimated to be 4.74%, which is markedly higher (about 24%) than the observed prevalence of 3.28%. Follow up of cohorts showed evidence of continued persistence of infection and acquisition of new infections post six rounds of MDA. As the Mf prevalence was above >1% in four of the five islands, this area is not eligible for TAS, warranting continuation of MDA. Mass DEC fortified salt is suggested as an adjunct to hasten elimination of infection.
DOI: 10.1016/j.actatropica.2014.02.004
PubMed: 24556139
Affiliations:
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Le document en format XML
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Electronic address: shriraman@icmr.org.in.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Regional Medical Research Centre (Indian Council of Medical Research), Post Bag No. 13, Port Blair 744 101, Andaman & Nicobar Islands</wicri:regionArea><wicri:noRegion>Andaman & Nicobar Islands</wicri:noRegion></affiliation></author><author><name sortKey="Krishnamoorthy, K" sort="Krishnamoorthy, K" uniqKey="Krishnamoorthy K" first="K" last="Krishnamoorthy">K. Krishnamoorthy</name><affiliation wicri:level="1"><nlm:affiliation>Vector Control Research Centre (Indian Council of Medical Research), Medical Complex, Indira Nagar, Puducherry 605 014, India. 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(methods)</term><term>Elephantiasis, Filarial (drug therapy)</term><term>Elephantiasis, Filarial (epidemiology)</term><term>Elephantiasis, Filarial (prevention & control)</term><term>Elephantiasis, Filarial (transmission)</term><term>Female</term><term>Humans</term><term>India (epidemiology)</term><term>Infant</term><term>Infant, Newborn</term><term>Insect Vectors</term><term>Islands (epidemiology)</term><term>Male</term><term>Middle Aged</term><term>Prevalence</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>Aedes (croissance et développement)</term><term>Animaux</term><term>Antihelminthiques (usage thérapeutique)</term><term>Démographie</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Femelle</term><term>Filariose lymphatique ()</term><term>Filariose lymphatique (traitement médicamenteux)</term><term>Filariose lymphatique (transmission)</term><term>Filariose lymphatique (épidémiologie)</term><term>Humains</term><term>Iles (épidémiologie)</term><term>Inde (épidémiologie)</term><term>Jeune adulte</term><term>Mâle</term><term>Nourrisson</term><term>Nouveau-né</term><term>Prévalence</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Traitement médicamenteux ()</term><term>Vecteurs insectes</term><term>Éradication de maladie ()</term><term>Études transversales</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anthelmintics</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>India</term></keywords><keywords scheme="MESH" qualifier="croissance et développement" xml:lang="fr"><term>Aedes</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Elephantiasis, Filarial</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Elephantiasis, Filarial</term><term>Islands</term></keywords><keywords scheme="MESH" qualifier="growth & development" xml:lang="en"><term>Aedes</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Disease Eradication</term><term>Drug Therapy</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Elephantiasis, Filarial</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Filariose lymphatique</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Elephantiasis, Filarial</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Antihelminthiques</term><term>Filariose lymphatique</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Filariose lymphatique</term><term>Iles</term><term>Inde</term></keywords><keywords scheme="MESH" 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maladie</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Inde</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Mass Drug Administration is being carried out in Andaman and Nicobar Islands, India since 2004. Cross sectional microfilaria (Mf) survey was conducted in Nancowry group of islands, the lone foci of diurnally sub periodic form of bancroftian filariasis in Nicobar district, to examine its eligibility for Transmission Assessment Survey (TAS). A total of 2561 individuals (coverage: 23.9%) were screened from five islands. The overall Mf prevalence was 3.28%. Except one island, all other islands recorded Mf prevalence >1%, ranging from 2.5% to 5.3%, indicating persistence of infection despite six annual rounds of MDA. Mf prevalence was age dependent and was higher among males, but not significantly different between genders. Age and gender specific analysis showed a significant reduction in all the age classes among females vis a vis pre-MDA prevalence while the reduction was significant only in 21-30 and 41-50 age classes in males. Exposure to day biting and forest dwelling Downsiomyia nivea can be attributed for the persistent infection besides non-compliance for MDA. Based on fits of modified negative binomial distribution, true prevalence of Mf carriers in the community was estimated to be 4.74%, which is markedly higher (about 24%) than the observed prevalence of 3.28%. Follow up of cohorts showed evidence of continued persistence of infection and acquisition of new infections post six rounds of MDA. As the Mf prevalence was above >1% in four of the five islands, this area is not eligible for TAS, warranting continuation of MDA. Mass DEC fortified salt is suggested as an adjunct to hasten elimination of infection.</div></front></TEI><affiliations><list><country><li>Inde</li></country></list><tree><country name="Inde"><noRegion><name sortKey="Shriram, A N" sort="Shriram, A N" uniqKey="Shriram A" first="A N" last="Shriram">A N Shriram</name></noRegion><name sortKey="Krishnamoorthy, K" sort="Krishnamoorthy, K" uniqKey="Krishnamoorthy K" first="K" last="Krishnamoorthy">K. Krishnamoorthy</name><name sortKey="Kumaraswami, V" sort="Kumaraswami, V" uniqKey="Kumaraswami V" first="V" last="Kumaraswami">V. Kumaraswami</name><name sortKey="Saha, B P" sort="Saha, B P" uniqKey="Saha B" first="B P" last="Saha">B P Saha</name><name sortKey="Sivan, Arun" sort="Sivan, Arun" uniqKey="Sivan A" first="Arun" last="Sivan">Arun Sivan</name><name sortKey="Vijayachari, P" sort="Vijayachari, P" uniqKey="Vijayachari P" first="P" last="Vijayachari">P. Vijayachari</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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