The Impact of a Filariasis Control Program on Lihir Island, Papua New Guinea
Identifieur interne : 004A88 ( Main/Exploration ); précédent : 004A87; suivant : 004A89The Impact of a Filariasis Control Program on Lihir Island, Papua New Guinea
Auteurs : Oriol Mitjà [Papouasie-Nouvelle-Guinée] ; Raymond Paru [Papouasie-Nouvelle-Guinée] ; Russell Hays [Papouasie-Nouvelle-Guinée] ; Lysaght Griffin [Papouasie-Nouvelle-Guinée] ; Nedley Laban [Papouasie-Nouvelle-Guinée] ; Mellie Samson [Papouasie-Nouvelle-Guinée] ; Quique Bassat [Espagne]Source :
- PLoS Neglected Tropical Diseases [ 1935-2727 ] ; 2011.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Animaux, Contrôle des maladies contagieuses (), Enfant, Enfant d'âge préscolaire, Facteurs temps, Femelle, Filaricides (administration et posologie), Filariose lymphatique (), Filariose lymphatique (traitement médicamenteux), Filariose lymphatique (épidémiologie), Grossesse, Humains, Jeune adulte, Mâle, Nourrisson, Nouveau-né, Papouasie - Nouvelle-Guinée (épidémiologie), Population rurale, Prévalence, Recherche sur les services de santé, Sujet âgé, Sujet âgé de 80 ans ou plus.
- MESH :
- administration et posologie : Filaricides.
- traitement médicamenteux : Filariose lymphatique.
- épidémiologie : Filariose lymphatique, Papouasie - Nouvelle-Guinée.
- Adolescent, Adulte, Adulte d'âge moyen, Animaux, Contrôle des maladies contagieuses, Enfant, Enfant d'âge préscolaire, Facteurs temps, Femelle, Filariose lymphatique, Grossesse, Humains, Jeune adulte, Mâle, Nourrisson, Nouveau-né, Population rurale, Prévalence, Recherche sur les services de santé, Sujet âgé, Sujet âgé de 80 ans ou plus.
- Wicri :
- geographic : Papouasie-Nouvelle-Guinée.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Animals, Child, Child, Preschool, Communicable Disease Control (methods), Elephantiasis, Filarial (drug therapy), Elephantiasis, Filarial (epidemiology), Elephantiasis, Filarial (prevention & control), Female, Filaricides (administration & dosage), Health Services Research, Humans, Infant, Infant, Newborn, Male, Middle Aged, Papua New Guinea (epidemiology), Pregnancy, Prevalence, Rural Population, Time Factors, Young Adult.
- MESH :
- chemical , administration & dosage : Filaricides.
- geographic , epidemiology : Papua New Guinea.
- drug therapy : Elephantiasis, Filarial.
- epidemiology : Elephantiasis, Filarial.
- methods : Communicable Disease Control.
- prevention & control : Elephantiasis, Filarial.
- Adolescent, Adult, Aged, Aged, 80 and over, Animals, Child, Child, Preschool, Female, Health Services Research, Humans, Infant, Infant, Newborn, Male, Middle Aged, Pregnancy, Prevalence, Rural Population, Time Factors, Young Adult.
Abstract
Annual mass drug administration (MDA) over five years is the WHO's recommended strategy to eliminate lymphatic filariasis (LF). Some experts, however, consider that longer periods of treatment might be necessary in certain high prevalence and transmission environments based upon past unsuccessful field experience and modelling.
To evaluate predictors of success in a LF control program we conducted an ecological study during a pre-existing MDA program. We studied 27 villages in Lihir Island, Papua New Guinea, from two areas with different infection rates before MDA. We undertook surveys to collect information on variables potentially having an influence on the outcome of the program, including epidemiological (baseline prevalence of infection, immigration rate), entomological (vector density) and operational (treatment coverage, vector control strategies) variables. The success in a village was defined using variables related to the infection (circulating filarial antigenemia prevalence <1%) and transmission (antigenemia prevalence <1 in 1000 children born since start of MDA). 8709 people were involved in the MDA program and average coverage rates were around 70%. The overall prevalence of filariasis fell from an initial 17.91% to 3.76% at round 5 (p<0.001). Viewed on a village by village basis, 12/27 (44%) villages achieved success. In multivariate analysis, low baseline prevalence was the only factor predicting both success in reducing infection rates (OR 19,26; CI 95% 1,12 to 331,82) and success in preventing new infections (OR 27,44; CI 95% 1,05 to 719,6). Low vector density and the use of an optimal vector control strategy were also associated with success in reducing infection rates, but this did not reach statistical significance.
Our results provide the data that supports the recommendation that high endemic areas may require longer duration MDA programs, or alternative control strategies.
Url:
DOI: 10.1371/journal.pntd.0001286
PubMed: 21886851
PubMed Central: 3160343
Affiliations:
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id="aff2"><addr-line>Department of Public Health, Lihir Medical Centre, International SOS, Lihir Island, New Ireland Province, Papua New Guinea</addr-line></nlm:aff><country xml:lang="fr">Papouasie-Nouvelle-Guinée</country><wicri:regionArea>Department of Public Health, Lihir Medical Centre, International SOS, Lihir Island, New Ireland Province</wicri:regionArea><wicri:noRegion>New Ireland Province</wicri:noRegion></affiliation></author><author><name sortKey="Hays, Russell" sort="Hays, Russell" uniqKey="Hays R" first="Russell" last="Hays">Russell Hays</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Medicine, Lihir Medical Centre, International SOS, Lihir Island, New Ireland Province, Papua New Guinea</addr-line></nlm:aff><country xml:lang="fr">Papouasie-Nouvelle-Guinée</country><wicri:regionArea>Department of Medicine, Lihir Medical Centre, International SOS, Lihir Island, New Ireland Province</wicri:regionArea><wicri:noRegion>New Ireland Province</wicri:noRegion></affiliation></author><author><name sortKey="Griffin, Lysaght" sort="Griffin, Lysaght" uniqKey="Griffin L" first="Lysaght" last="Griffin">Lysaght Griffin</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Department of Public Health, Lihir Medical Centre, International SOS, Lihir Island, New Ireland Province, Papua New Guinea</addr-line></nlm:aff><country xml:lang="fr">Papouasie-Nouvelle-Guinée</country><wicri:regionArea>Department of Public Health, Lihir Medical Centre, International SOS, Lihir Island, New Ireland Province</wicri:regionArea><wicri:noRegion>New Ireland Province</wicri:noRegion></affiliation></author><author><name sortKey="Laban, Nedley" sort="Laban, Nedley" uniqKey="Laban N" first="Nedley" last="Laban">Nedley Laban</name><affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>Department of Microbiology, Lihir Medical Centre, International SOS, Lihir Island, New Ireland Province, Papua New Guinea</addr-line></nlm:aff><country xml:lang="fr">Papouasie-Nouvelle-Guinée</country><wicri:regionArea>Department of Microbiology, Lihir Medical Centre, International SOS, Lihir Island, New Ireland Province</wicri:regionArea><wicri:noRegion>New Ireland Province</wicri:noRegion></affiliation></author><author><name sortKey="Samson, Mellie" sort="Samson, Mellie" uniqKey="Samson M" first="Mellie" last="Samson">Mellie Samson</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Medicine, Lihir Medical Centre, International SOS, Lihir Island, New Ireland Province, Papua New Guinea</addr-line></nlm:aff><country xml:lang="fr">Papouasie-Nouvelle-Guinée</country><wicri:regionArea>Department of Medicine, Lihir Medical Centre, International SOS, Lihir Island, New Ireland Province</wicri:regionArea><wicri:noRegion>New Ireland Province</wicri:noRegion></affiliation></author><author><name sortKey="Bassat, Quique" sort="Bassat, Quique" uniqKey="Bassat Q" first="Quique" last="Bassat">Quique Bassat</name><affiliation wicri:level="3"><nlm:aff id="aff4"><addr-line>Barcelona Centre for International Health Research, Hospital Clínic, University of Barcelona, Barcelona, Spain</addr-line></nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Barcelona Centre for International Health Research, Hospital Clínic, University of Barcelona, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></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="2011">2011</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>Animals</term><term>Child</term><term>Child, Preschool</term><term>Communicable Disease Control (methods)</term><term>Elephantiasis, Filarial (drug therapy)</term><term>Elephantiasis, Filarial (epidemiology)</term><term>Elephantiasis, Filarial (prevention & control)</term><term>Female</term><term>Filaricides (administration & dosage)</term><term>Health Services Research</term><term>Humans</term><term>Infant</term><term>Infant, Newborn</term><term>Male</term><term>Middle Aged</term><term>Papua New Guinea (epidemiology)</term><term>Pregnancy</term><term>Prevalence</term><term>Rural Population</term><term>Time Factors</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>Animaux</term><term>Contrôle des maladies contagieuses ()</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Facteurs temps</term><term>Femelle</term><term>Filaricides (administration et posologie)</term><term>Filariose lymphatique ()</term><term>Filariose lymphatique (traitement médicamenteux)</term><term>Filariose lymphatique (épidémiologie)</term><term>Grossesse</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Nourrisson</term><term>Nouveau-né</term><term>Papouasie - Nouvelle-Guinée (épidémiologie)</term><term>Population rurale</term><term>Prévalence</term><term>Recherche sur les services de santé</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Filaricides</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Papua New Guinea</term></keywords><keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Filaricides</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="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" qualifier="traitement médicamenteux" xml:lang="fr"><term>Filariose lymphatique</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Filariose lymphatique</term><term>Papouasie - Nouvelle-Guinée</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Animals</term><term>Child</term><term>Child, Preschool</term><term>Female</term><term>Health Services Research</term><term>Humans</term><term>Infant</term><term>Infant, Newborn</term><term>Male</term><term>Middle Aged</term><term>Pregnancy</term><term>Prevalence</term><term>Rural Population</term><term>Time Factors</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>Animaux</term><term>Contrôle des maladies contagieuses</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Facteurs temps</term><term>Femelle</term><term>Filariose lymphatique</term><term>Grossesse</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Nourrisson</term><term>Nouveau-né</term><term>Population rurale</term><term>Prévalence</term><term>Recherche sur les services de santé</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Papouasie-Nouvelle-Guinée</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Annual mass drug administration (MDA) over five years is the WHO's recommended strategy to eliminate lymphatic filariasis (LF). Some experts, however, consider that longer periods of treatment might be necessary in certain high prevalence and transmission environments based upon past unsuccessful field experience and modelling.</p></sec><sec><title>Methodology/Principal Findings</title><p>To evaluate predictors of success in a LF control program we conducted an ecological study during a pre-existing MDA program. We studied 27 villages in Lihir Island, Papua New Guinea, from two areas with different infection rates before MDA. We undertook surveys to collect information on variables potentially having an influence on the outcome of the program, including epidemiological (baseline prevalence of infection, immigration rate), entomological (vector density) and operational (treatment coverage, vector control strategies) variables. The success in a village was defined using variables related to the infection (circulating filarial antigenemia prevalence <1%) and transmission (antigenemia prevalence <1 in 1000 children born since start of MDA). 8709 people were involved in the MDA program and average coverage rates were around 70%. The overall prevalence of filariasis fell from an initial 17.91% to 3.76% at round 5 (p<0.001). Viewed on a village by village basis, 12/27 (44%) villages achieved success. In multivariate analysis, low baseline prevalence was the only factor predicting both success in reducing infection rates (OR 19,26; CI 95% 1,12 to 331,82) and success in preventing new infections (OR 27,44; CI 95% 1,05 to 719,6). Low vector density and the use of an optimal vector control strategy were also associated with success in reducing infection rates, but this did not reach statistical significance.</p></sec><sec><title>Conclusions/Significance</title><p>Our results provide the data that supports the recommendation that high endemic areas may require longer duration MDA programs, or alternative control strategies.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Ichimori, K" uniqKey="Ichimori K">K Ichimori</name></author><author><name sortKey="Crump, A" uniqKey="Crump A">A Crump</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Bockarie, M" uniqKey="Bockarie M">M Bockarie</name></author><author><name sortKey="Tish, Dj" uniqKey="Tish D">DJ Tish</name></author><author><name sortKey="Kastens, W" uniqKey="Kastens W">W 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Durrheim</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Huppatz, C" uniqKey="Huppatz C">C Huppatz</name></author><author><name sortKey="Durrheim, D" uniqKey="Durrheim D">D Durrheim</name></author><author><name sortKey="Lammie, P" uniqKey="Lammie P">P Lammie</name></author><author><name sortKey="Kelly, P" uniqKey="Kelly P">P Kelly</name></author><author><name sortKey="Melrose, W" uniqKey="Melrose W">W Melrose</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chanteau, S" uniqKey="Chanteau S">S Chanteau</name></author><author><name sortKey="Roux, Jf" uniqKey="Roux J">JF Roux</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Espagne</li><li>Papouasie-Nouvelle-Guinée</li></country><region><li>Catalogne</li></region><settlement><li>Barcelone</li></settlement></list><tree><country name="Papouasie-Nouvelle-Guinée"><noRegion><name sortKey="Mitja, Oriol" sort="Mitja, Oriol" uniqKey="Mitja O" first="Oriol" last="Mitjà">Oriol Mitjà</name></noRegion><name sortKey="Griffin, Lysaght" sort="Griffin, Lysaght" uniqKey="Griffin L" first="Lysaght" last="Griffin">Lysaght Griffin</name><name sortKey="Hays, Russell" sort="Hays, Russell" uniqKey="Hays R" first="Russell" last="Hays">Russell Hays</name><name sortKey="Laban, Nedley" sort="Laban, Nedley" uniqKey="Laban N" first="Nedley" last="Laban">Nedley Laban</name><name sortKey="Paru, Raymond" sort="Paru, Raymond" uniqKey="Paru R" first="Raymond" last="Paru">Raymond Paru</name><name sortKey="Samson, Mellie" sort="Samson, Mellie" uniqKey="Samson M" first="Mellie" last="Samson">Mellie Samson</name></country><country name="Espagne"><region name="Catalogne"><name sortKey="Bassat, Quique" sort="Bassat, Quique" uniqKey="Bassat Q" first="Quique" last="Bassat">Quique Bassat</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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