LymphedemaV1, Main, Exploration, bibRecord, 004F12

Epidemiological and Entomological Evaluations after Six Years or More of Mass Drug Administration for Lymphatic Filariasis Elimination in Nigeria

Identifieur interne : 004F12 ( Main/Exploration ); précédent : 004F11; suivant : 004F13

Epidemiological and Entomological Evaluations after Six Years or More of Mass Drug Administration for Lymphatic Filariasis Elimination in Nigeria

Auteurs : Frank O. Richards [États-Unis] ; Abel Eigege [Nigeria] ; Emmanuel S. Miri [Nigeria] ; Alphonsus Kal [Nigeria] ; John Umaru [Nigeria] ; Davou Pam [Nigeria] ; Lindsay J. Rakers [États-Unis] ; Yohanna Sambo [Nigeria] ; Jacob Danboyi [Nigeria] ; Bako Ibrahim [Nigeria] ; Solomon E. Adelamo [Nigeria] ; Gladys Ogah [Nigeria] ; Danjuma Goshit [Nigeria] ; O. Kehinde Oyenekan [Nigeria] ; Els Mathieu [États-Unis] ; P. Craig Withers [États-Unis] ; Yisa A. Saka [Nigeria] ; Jonathan Jiya [Nigeria] ; Donald R. Hopkins [États-Unis]

Source :

PLoS Neglected Tropical Diseases [ 1935-2727 ] ; 2011.

RBID : PMC:3191131

Descripteurs français

KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Albendazole (administration et posologie), Animaux, Antigènes d'helminthe (sang), Association de médicaments (), Enfant, Enfant d'âge préscolaire, Femelle, Filaricides (administration et posologie), Filariose lymphatique (), Filariose lymphatique (traitement médicamenteux), Filariose lymphatique (transmission), Filariose lymphatique (épidémiologie), Humains, Incidence, Ivermectine (administration et posologie), Jeune adulte, Mâle, Nigeria (épidémiologie), Sujet âgé, Sujet âgé de 80 ans ou plus, Wuchereria bancrofti (isolement et purification).
MESH :
- administration et posologie : Albendazole, Filaricides, Ivermectine.
- isolement et purification : Wuchereria bancrofti.
- sang : Antigènes d'helminthe.
- traitement médicamenteux : Filariose lymphatique.
- épidémiologie : Filariose lymphatique, Nigeria.
- Adolescent, Adulte, Adulte d'âge moyen, Animaux, Association de médicaments, Enfant, Enfant d'âge préscolaire, Femelle, Filariose lymphatique, Humains, Incidence, Jeune adulte, Mâle, Sujet âgé, Sujet âgé de 80 ans ou plus.
Wicri :
- geographic : Nigeria.

English descriptors

KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Albendazole (administration & dosage), Animals, Antigens, Helminth (blood), Child, Child, Preschool, Drug Therapy, Combination (methods), Elephantiasis, Filarial (drug therapy), Elephantiasis, Filarial (epidemiology), Elephantiasis, Filarial (prevention & control), Elephantiasis, Filarial (transmission), Female, Filaricides (administration & dosage), Humans, Incidence, Ivermectin (administration & dosage), Male, Middle Aged, Nigeria (epidemiology), Wuchereria bancrofti (isolation & purification), Young Adult.
MESH :
- chemical , administration & dosage : Albendazole, Filaricides, Ivermectin.
- chemical , blood : Antigens, Helminth.
- geographic , epidemiology : Nigeria.
- drug therapy : Elephantiasis, Filarial.
- epidemiology : Elephantiasis, Filarial.
- isolation & purification : Wuchereria bancrofti.
- methods : Drug Therapy, Combination.
- prevention & control : Elephantiasis, Filarial.
- transmission : Elephantiasis, Filarial.
- Adolescent, Adult, Aged, Aged, 80 and over, Animals, Child, Child, Preschool, Female, Humans, Incidence, Male, Middle Aged, Young Adult.

Abstract

The current strategy for interrupting transmission of lymphatic filariasis (LF) is annual mass drug administration (MDA), at good coverage, for 6 or more years. We describe our programmatic experience delivering the MDA combination of ivermectin and albendazole in Plateau and Nasarawa states in central Nigeria, where LF is caused by anopheline transmitted Wuchereria bancrofti. Baseline LF mapping using rapid blood antigen detection tests showed mean local government area (LGA) prevalence of 23% (range 4–62%). MDA was launched in 2000 and by 2003 had been scaled up to full geographic coverage in all 30 LGAs in the two states; over 26 million cumulative directly observed treatments were provided by community drug distributors over the intervention period. Reported treatment coverage for each round was ≥85% of the treatment eligible population of 3.7 million, although a population-based coverage survey in 2003 showed lower coverage (72.2%; 95% CI 65.5–79.0%). To determine impact on transmission, we monitored three LF infection parameters (microfilaremia, antigenemia, and mosquito infection) in 10 sentinel villages (SVs) serially. The last monitoring was done in 2009, when SVs had been treated for 7–10 years. Microfilaremia in 2009 decreased by 83% from baseline (from 4.9% to 0.8%); antigenemia by 67% (from 21.6% to 7.2%); mosquito infection rate (all larval stages) by 86% (from 3.1% to 0.4%); and mosquito infectivity rate (L3 stages) by 76% (from 1.3% to 0.3%). All changes were statistically significant. Results suggest that LF transmission has been interrupted in 5 of the 10 SVs, based on 2009 finding of microfilaremia ≥1% and/or L3 stages in mosquitoes. Four of the five SVs where transmission persists had baseline antigenemia prevalence of >25%. Longer or additional interventions (e.g., more frequent MDA treatments, insecticidal bed nets) should be considered for ‘hot spots’ where transmission is ongoing.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3191131

DOI: 10.1371/journal.pntd.0001346
PubMed: 22022627
PubMed Central: 3191131

Affiliations:

Le document en format XML

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<author><name sortKey="Richards, Frank O" sort="Richards, Frank O" uniqKey="Richards F" first="Frank O." last="Richards">Frank O. Richards</name>
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<author><name sortKey="Adelamo, Solomon E" sort="Adelamo, Solomon E" uniqKey="Adelamo S" first="Solomon E." last="Adelamo">Solomon E. Adelamo</name>
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<author><name sortKey="Ogah, Gladys" sort="Ogah, Gladys" uniqKey="Ogah G" first="Gladys" last="Ogah">Gladys Ogah</name>
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<author><name sortKey="Oyenekan, O Kehinde" sort="Oyenekan, O Kehinde" uniqKey="Oyenekan O" first="O. Kehinde" last="Oyenekan">O. Kehinde Oyenekan</name>
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<author><name sortKey="Mathieu, Els" sort="Mathieu, Els" uniqKey="Mathieu E" first="Els" last="Mathieu">Els Mathieu</name>
<affiliation wicri:level="2"><nlm:aff id="aff7"><addr-line>Centers for Disease Control, Atlanta, Georgia, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Centers for Disease Control, Atlanta, Georgia</wicri:regionArea>
<placeName><region type="state">Géorgie (États-Unis)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Withers, P Craig" sort="Withers, P Craig" uniqKey="Withers P" first="P. Craig" last="Withers">P. Craig Withers</name>
<affiliation wicri:level="2"><nlm:aff id="aff1"><addr-line>The Carter Center, Atlanta, Georgia, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>The Carter Center, Atlanta, Georgia</wicri:regionArea>
<placeName><region type="state">Géorgie (États-Unis)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Saka, Yisa A" sort="Saka, Yisa A" uniqKey="Saka Y" first="Yisa A." last="Saka">Yisa A. Saka</name>
<affiliation wicri:level="1"><nlm:aff id="aff6"><addr-line>Nigeria Federal Ministry of Health, Abuja, Nigeria</addr-line>
</nlm:aff>
<country xml:lang="fr">Nigeria</country>
<wicri:regionArea>Nigeria Federal Ministry of Health, Abuja</wicri:regionArea>
<wicri:noRegion>Abuja</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Jiya, Jonathan" sort="Jiya, Jonathan" uniqKey="Jiya J" first="Jonathan" last="Jiya">Jonathan Jiya</name>
<affiliation wicri:level="1"><nlm:aff id="aff6"><addr-line>Nigeria Federal Ministry of Health, Abuja, Nigeria</addr-line>
</nlm:aff>
<country xml:lang="fr">Nigeria</country>
<wicri:regionArea>Nigeria Federal Ministry of Health, Abuja</wicri:regionArea>
<wicri:noRegion>Abuja</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Hopkins, Donald R" sort="Hopkins, Donald R" uniqKey="Hopkins D" first="Donald R." last="Hopkins">Donald R. Hopkins</name>
<affiliation wicri:level="2"><nlm:aff id="aff1"><addr-line>The Carter Center, Atlanta, Georgia, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>The Carter Center, Atlanta, Georgia</wicri:regionArea>
<placeName><region type="state">Géorgie (États-Unis)</region>
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<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>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Albendazole (administration & dosage)</term>
<term>Animals</term>
<term>Antigens, Helminth (blood)</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Drug Therapy, Combination (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>Filaricides (administration & dosage)</term>
<term>Humans</term>
<term>Incidence</term>
<term>Ivermectin (administration & dosage)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Nigeria (epidemiology)</term>
<term>Wuchereria bancrofti (isolation & purification)</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>Albendazole (administration et posologie)</term>
<term>Animaux</term>
<term>Antigènes d'helminthe (sang)</term>
<term>Association de médicaments ()</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Femelle</term>
<term>Filaricides (administration et posologie)</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>Incidence</term>
<term>Ivermectine (administration et posologie)</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Nigeria (épidémiologie)</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Wuchereria bancrofti (isolement et purification)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Albendazole</term>
<term>Filaricides</term>
<term>Ivermectin</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="blood" xml:lang="en"><term>Antigens, Helminth</term>
</keywords>
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</keywords>
<keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Albendazole</term>
<term>Filaricides</term>
<term>Ivermectine</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="methods" xml:lang="en"><term>Drug Therapy, Combination</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Elephantiasis, Filarial</term>
</keywords>
<keywords scheme="MESH" qualifier="sang" xml:lang="fr"><term>Antigènes d'helminthe</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="épidémiologie" xml:lang="fr"><term>Filariose lymphatique</term>
<term>Nigeria</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>Humans</term>
<term>Incidence</term>
<term>Male</term>
<term>Middle Aged</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>Association de médicaments</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Femelle</term>
<term>Filariose lymphatique</term>
<term>Humains</term>
<term>Incidence</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
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<front><div type="abstract" xml:lang="en"><p>The current strategy for interrupting transmission of lymphatic filariasis (LF) is annual mass drug administration (MDA), at good coverage, for 6 or more years. We describe our programmatic experience delivering the MDA combination of ivermectin and albendazole in Plateau and Nasarawa states in central Nigeria, where LF is caused by anopheline transmitted <italic>Wuchereria bancrofti</italic>
. Baseline LF mapping using rapid blood antigen detection tests showed mean local government area (LGA) prevalence of 23% (range 4–62%). MDA was launched in 2000 and by 2003 had been scaled up to full geographic coverage in all 30 LGAs in the two states; over 26 million cumulative directly observed treatments were provided by community drug distributors over the intervention period. Reported treatment coverage for each round was ≥85% of the treatment eligible population of 3.7 million, although a population-based coverage survey in 2003 showed lower coverage (72.2%; 95% CI 65.5–79.0%). To determine impact on transmission, we monitored three LF infection parameters (microfilaremia, antigenemia, and mosquito infection) in 10 sentinel villages (SVs) serially. The last monitoring was done in 2009, when SVs had been treated for 7–10 years. Microfilaremia in 2009 decreased by 83% from baseline (from 4.9% to 0.8%); antigenemia by 67% (from 21.6% to 7.2%); mosquito infection rate (all larval stages) by 86% (from 3.1% to 0.4%); and mosquito infectivity rate (L3 stages) by 76% (from 1.3% to 0.3%). All changes were statistically significant. Results suggest that LF transmission has been interrupted in 5 of the 10 SVs, based on 2009 finding of microfilaremia ≥1% and/or L3 stages in mosquitoes. Four of the five SVs where transmission persists had baseline antigenemia prevalence of >25%. Longer or additional interventions (e.g., more frequent MDA treatments, insecticidal bed nets) should be considered for ‘hot spots’ where transmission is ongoing.</p>
</div>
</front>
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<affiliations><list><country><li>Nigeria</li>
<li>États-Unis</li>
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<name sortKey="Rakers, Lindsay J" sort="Rakers, Lindsay J" uniqKey="Rakers L" first="Lindsay J." last="Rakers">Lindsay J. Rakers</name>
<name sortKey="Withers, P Craig" sort="Withers, P Craig" uniqKey="Withers P" first="P. Craig" last="Withers">P. Craig Withers</name>
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<name sortKey="Adelamo, Solomon E" sort="Adelamo, Solomon E" uniqKey="Adelamo S" first="Solomon E." last="Adelamo">Solomon E. Adelamo</name>
<name sortKey="Danboyi, Jacob" sort="Danboyi, Jacob" uniqKey="Danboyi J" first="Jacob" last="Danboyi">Jacob Danboyi</name>
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<name sortKey="Jiya, Jonathan" sort="Jiya, Jonathan" uniqKey="Jiya J" first="Jonathan" last="Jiya">Jonathan Jiya</name>
<name sortKey="Kal, Alphonsus" sort="Kal, Alphonsus" uniqKey="Kal A" first="Alphonsus" last="Kal">Alphonsus Kal</name>
<name sortKey="Miri, Emmanuel S" sort="Miri, Emmanuel S" uniqKey="Miri E" first="Emmanuel S." last="Miri">Emmanuel S. Miri</name>
<name sortKey="Ogah, Gladys" sort="Ogah, Gladys" uniqKey="Ogah G" first="Gladys" last="Ogah">Gladys Ogah</name>
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<name sortKey="Pam, Davou" sort="Pam, Davou" uniqKey="Pam D" first="Davou" last="Pam">Davou Pam</name>
<name sortKey="Saka, Yisa A" sort="Saka, Yisa A" uniqKey="Saka Y" first="Yisa A." last="Saka">Yisa A. Saka</name>
<name sortKey="Sambo, Yohanna" sort="Sambo, Yohanna" uniqKey="Sambo Y" first="Yohanna" last="Sambo">Yohanna Sambo</name>
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Serveur d'exploration sur le lymphœdème

Epidemiological and Entomological Evaluations after Six Years or More of Mass Drug Administration for Lymphatic Filariasis Elimination in Nigeria

Epidemiological and Entomological Evaluations after Six Years or More of Mass Drug Administration for Lymphatic Filariasis Elimination in Nigeria

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