Lymphatic Filariasis in Nigeria; Micro-stratification Overlap Mapping (MOM) as a Prerequisite for Cost-Effective Resource Utilization in Control and Surveillance
Identifieur interne : 003478 ( Main/Exploration ); précédent : 003477; suivant : 003479Lymphatic Filariasis in Nigeria; Micro-stratification Overlap Mapping (MOM) as a Prerequisite for Cost-Effective Resource Utilization in Control and Surveillance
Auteurs : Patricia N. Okorie [Nigeria] ; George O. Ademowo [Nigeria] ; Yisa Saka [Nigeria] ; Emmanuel Davies [Nigeria] ; Chukwu Okoronkwo [Nigeria] ; Moses J. Bockarie [Royaume-Uni] ; David H. Molyneux [Royaume-Uni] ; Louise A. Kelly-Hope [Royaume-Uni]Source :
- PLoS Neglected Tropical Diseases [ 1935-2727 ] ; 2013.
Descripteurs français
- KwdFr :
- MESH :
- isolement et purification : Wuchereria bancrofti.
- traitement médicamenteux : Filariose lymphatique.
- épidémiologie : Filariose lymphatique, Nigeria.
- Animaux, Filariose lymphatique, Humains, Prévalence, Topographie médicale, Épidémiosurveillance.
- Wicri :
- geographic : Nigeria.
English descriptors
- KwdEn :
- MESH :
- geographic , epidemiology : Nigeria.
- drug therapy : Elephantiasis, Filarial.
- epidemiology : Elephantiasis, Filarial.
- isolation & purification : Wuchereria bancrofti.
- prevention & control : Elephantiasis, Filarial.
- Animals, Epidemiological Monitoring, Humans, Prevalence, Topography, Medical.
Abstract
Nigeria has a significant burden of lymphatic filariasis (LF) caused by the parasite
LF data from the literature and Federal Ministry of Health (FMoH) were collated into a database. LF prevalence distributions; predicted prevalence of loiasis; ongoing onchocerciasis community-directed treatment with ivermectin (CDTi); and long-lasting insecticidal mosquito net (LLIN) distributions for malaria were incorporated into overlay maps using geographical information system (GIS) software. LF was prevalent across most regions of the country. The mean prevalence determined by circulating filarial antigen (CFA) was 14.0% (n = 134 locations), and by microfilaria (Mf) was 8.2% (n = 162 locations). Overall, LF endemic areas geographically coincided with CDTi priority areas, however, LLIN coverage was generally low (<50%) in areas where LF prevalence was high or co-endemic with
The extensive database and series of maps produced in this study provide an important overview for the LF Programme and will assist to maximize existing interventions, ensuring cost effective use of resources as the programme scales up. Such information is a prerequisite for the LF programme, and will allow for other factors to be included into planning, as well as monitoring and evaluation activities given the broad spectrum impact of the drugs used.
Url:
DOI: 10.1371/journal.pntd.0002416
PubMed: 24040432
PubMed Central: 3764235
Affiliations:
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Okorie</name><affiliation wicri:level="4"><nlm:aff id="aff1"><addr-line>Institute for Advanced Medical Research and Training, College of Medicine, University of Ibadan, Ibadan, Nigeria</addr-line></nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Institute for Advanced Medical Research and Training, College of Medicine, University of Ibadan, Ibadan</wicri:regionArea><orgName type="university">Université d'Ibadan</orgName><placeName><settlement type="city">Ibadan</settlement><region type="region">État d'Oyo</region></placeName></affiliation></author><author><name sortKey="Ademowo, George O" sort="Ademowo, George O" uniqKey="Ademowo G" first="George O." last="Ademowo">George O. Ademowo</name><affiliation wicri:level="4"><nlm:aff id="aff1"><addr-line>Institute for Advanced Medical Research and Training, College of Medicine, University of Ibadan, Ibadan, Nigeria</addr-line></nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Institute for Advanced Medical Research and Training, College of Medicine, University of Ibadan, Ibadan</wicri:regionArea><orgName type="university">Université d'Ibadan</orgName><placeName><settlement type="city">Ibadan</settlement><region type="region">État d'Oyo</region></placeName></affiliation></author><author><name sortKey="Saka, Yisa" sort="Saka, Yisa" uniqKey="Saka Y" first="Yisa" last="Saka">Yisa Saka</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Ministry of Health, Abuja, Nigeria</addr-line></nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Ministry of Health, Abuja</wicri:regionArea><wicri:noRegion>Abuja</wicri:noRegion></affiliation></author><author><name sortKey="Davies, Emmanuel" sort="Davies, Emmanuel" uniqKey="Davies E" first="Emmanuel" last="Davies">Emmanuel Davies</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Ministry of Health, Abuja, Nigeria</addr-line></nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Ministry of Health, Abuja</wicri:regionArea><wicri:noRegion>Abuja</wicri:noRegion></affiliation></author><author><name sortKey="Okoronkwo, Chukwu" sort="Okoronkwo, Chukwu" uniqKey="Okoronkwo C" first="Chukwu" last="Okoronkwo">Chukwu Okoronkwo</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Ministry of Health, Abuja, Nigeria</addr-line></nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Ministry of Health, Abuja</wicri:regionArea><wicri:noRegion>Abuja</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="aff3"><addr-line>Centre for Neglected Tropical Diseases – Liverpool School of Tropical Medicine, Liverpool, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Centre for Neglected Tropical Diseases – Liverpool School of Tropical Medicine, Liverpool</wicri:regionArea><wicri:noRegion>Liverpool</wicri:noRegion></affiliation></author><author><name sortKey="Molyneux, David H" sort="Molyneux, David H" uniqKey="Molyneux D" first="David H." last="Molyneux">David H. Molyneux</name><affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>Centre for Neglected Tropical Diseases – Liverpool School of Tropical Medicine, Liverpool, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Centre for Neglected Tropical Diseases – Liverpool School of Tropical Medicine, Liverpool</wicri:regionArea><wicri:noRegion>Liverpool</wicri:noRegion></affiliation></author><author><name sortKey="Kelly Hope, Louise A" sort="Kelly Hope, Louise A" uniqKey="Kelly Hope L" first="Louise A." last="Kelly-Hope">Louise A. Kelly-Hope</name><affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>Centre for Neglected Tropical Diseases – Liverpool School of Tropical Medicine, Liverpool, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Centre for Neglected Tropical Diseases – Liverpool School of Tropical Medicine, 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="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Animals</term><term>Elephantiasis, Filarial (drug therapy)</term><term>Elephantiasis, Filarial (epidemiology)</term><term>Elephantiasis, Filarial (prevention & control)</term><term>Epidemiological Monitoring</term><term>Humans</term><term>Nigeria (epidemiology)</term><term>Prevalence</term><term>Topography, Medical</term><term>Wuchereria bancrofti (isolation & purification)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Animaux</term><term>Filariose lymphatique ()</term><term>Filariose lymphatique (traitement médicamenteux)</term><term>Filariose lymphatique (épidémiologie)</term><term>Humains</term><term>Nigeria (épidémiologie)</term><term>Prévalence</term><term>Topographie médicale</term><term>Wuchereria bancrofti (isolement et purification)</term><term>Épidémiosurveillance</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Nigeria</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></keywords><keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Wuchereria bancrofti</term></keywords><keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr"><term>Wuchereria bancrofti</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="épidémiologie" xml:lang="fr"><term>Filariose lymphatique</term><term>Nigeria</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Animals</term><term>Epidemiological Monitoring</term><term>Humans</term><term>Prevalence</term><term>Topography, Medical</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Animaux</term><term>Filariose lymphatique</term><term>Humains</term><term>Prévalence</term><term>Topographie médicale</term><term>Épidémiosurveillance</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Nigeria</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Nigeria has a significant burden of lymphatic filariasis (LF) caused by the parasite <italic>Wuchereria bancrofti</italic>. A major concern to the expansion of the LF elimination programme is the risk of serious adverse events (SAEs) associated with the use of ivermectin in areas co-endemic with <italic>Loa</italic> filariasis. To better understand this, as well as other factors that may impact on LF elimination, we used Micro-stratification Overlap Mapping (MOM) to highlight the distribution and potential impact of multiple disease interventions that geographically coincide in LF endemic areas and which will impact on LF and vice versa.</p></sec><sec><title>Methodology/Principal findings</title><p>LF data from the literature and Federal Ministry of Health (FMoH) were collated into a database. LF prevalence distributions; predicted prevalence of loiasis; ongoing onchocerciasis community-directed treatment with ivermectin (CDTi); and long-lasting insecticidal mosquito net (LLIN) distributions for malaria were incorporated into overlay maps using geographical information system (GIS) software. LF was prevalent across most regions of the country. The mean prevalence determined by circulating filarial antigen (CFA) was 14.0% (n = 134 locations), and by microfilaria (Mf) was 8.2% (n = 162 locations). Overall, LF endemic areas geographically coincided with CDTi priority areas, however, LLIN coverage was generally low (<50%) in areas where LF prevalence was high or co-endemic with <italic>L. loa</italic>.</p></sec><sec><title>Conclusions/Significance</title><p>The extensive database and series of maps produced in this study provide an important overview for the LF Programme and will assist to maximize existing interventions, ensuring cost effective use of resources as the programme scales up. Such information is a prerequisite for the LF programme, and will allow for other factors to be included into planning, as well as monitoring and evaluation activities given the broad spectrum impact of the drugs used.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Manguin, S" uniqKey="Manguin S">S Manguin</name></author><author><name sortKey="Bangs, Mj" uniqKey="Bangs M">MJ Bangs</name></author><author><name sortKey="Pothikasikorn, J" uniqKey="Pothikasikorn J">J Pothikasikorn</name></author><author><name sortKey="Chareonviriyaphap, T" uniqKey="Chareonviriyaphap T">T Chareonviriyaphap</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hotez, Pj" uniqKey="Hotez P">PJ Hotez</name></author><author><name sortKey="Asojo, Oa" uniqKey="Asojo O">OA Asojo</name></author><author><name sortKey="Adesina, Am" uniqKey="Adesina 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Mukoko</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="B Gh, C" uniqKey="B Gh C">C Bøgh</name></author><author><name sortKey="Pedersen, Em" uniqKey="Pedersen E">EM Pedersen</name></author><author><name sortKey="Mukoko, Da" uniqKey="Mukoko D">DA Mukoko</name></author><author><name sortKey="Ouma, Jh" uniqKey="Ouma J">JH Ouma</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Nigeria</li><li>Royaume-Uni</li></country><region><li>État d'Oyo</li></region><settlement><li>Ibadan</li></settlement><orgName><li>Université d'Ibadan</li></orgName></list><tree><country name="Nigeria"><region name="État d'Oyo"><name sortKey="Okorie, Patricia N" sort="Okorie, Patricia N" uniqKey="Okorie P" first="Patricia N." last="Okorie">Patricia N. Okorie</name></region><name sortKey="Ademowo, George O" sort="Ademowo, George O" uniqKey="Ademowo G" first="George O." last="Ademowo">George O. Ademowo</name><name sortKey="Davies, Emmanuel" sort="Davies, Emmanuel" uniqKey="Davies E" first="Emmanuel" last="Davies">Emmanuel Davies</name><name sortKey="Okoronkwo, Chukwu" sort="Okoronkwo, Chukwu" uniqKey="Okoronkwo C" first="Chukwu" last="Okoronkwo">Chukwu Okoronkwo</name><name sortKey="Saka, Yisa" sort="Saka, Yisa" uniqKey="Saka Y" first="Yisa" last="Saka">Yisa Saka</name></country><country name="Royaume-Uni"><noRegion><name sortKey="Bockarie, Moses J" sort="Bockarie, Moses J" uniqKey="Bockarie M" first="Moses J." last="Bockarie">Moses J. Bockarie</name></noRegion><name sortKey="Kelly Hope, Louise A" sort="Kelly Hope, Louise A" uniqKey="Kelly Hope L" first="Louise A." last="Kelly-Hope">Louise A. Kelly-Hope</name><name sortKey="Molyneux, David H" sort="Molyneux, David H" uniqKey="Molyneux D" first="David H." last="Molyneux">David H. 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