Situation analysis in a large urban area of India, prior to launching a programme of mass drug administrations to eliminate lymphatic filariasis.
Identifieur interne : 007E78 ( Main/Exploration ); précédent : 007E77; suivant : 007E79Situation analysis in a large urban area of India, prior to launching a programme of mass drug administrations to eliminate lymphatic filariasis.
Auteurs : K D Ramaiah [Inde] ; K N Vijay Kumar ; R. Ravi ; P K DasSource :
- Annals of tropical medicine and parasitology [ 0003-4983 ] ; 2005.
Descripteurs français
- KwdFr :
- Animaux, Anopheles, Attitude envers la santé, Facteurs socioéconomiques, Filariose lymphatique (), Filariose lymphatique (psychologie), Humains, Inde, Maladies endémiques (), Population urbaine, Services de médecine préventive, Vecteurs de maladie, Wuchereria bancrofti, Éducation du patient comme sujet.
- MESH :
- Wicri :
- geographic : Inde.
English descriptors
- KwdEn :
- Animals, Anopheles, Attitude to Health, Disease Vectors, Elephantiasis, Filarial (prevention & control), Elephantiasis, Filarial (psychology), Endemic Diseases (prevention & control), Humans, India, Patient Education as Topic, Preventive Health Services, Socioeconomic Factors, Urban Population, Wuchereria bancrofti.
- MESH :
- geographic : India.
- prevention & control : Elephantiasis, Filarial, Endemic Diseases.
- psychology : Elephantiasis, Filarial.
- Animals, Anopheles, Attitude to Health, Disease Vectors, Humans, Patient Education as Topic, Preventive Health Services, Socioeconomic Factors, Urban Population, Wuchereria bancrofti.
Abstract
The main strategy now adopted for the elimination of lymphatic filariasis (LF) is based on mass drug administrations (MDA). Annual administration of antifilarial drugs to 65%-80% of the population at risk of the disease is believed to be necessary if LF is to be eliminated, at least as a public-health problem, within a reasonable time-frame. To facilitate the development of drug-delivery strategies that are sufficient to ensure such high treatment coverages in large urban areas, a situation analysis was undertaken in the Indian city of Chennai. The subjects interviewed came from households with high, moderate, low or very low incomes. A lack of information on the prevalence and socio-economic impact of the disease meant that LF was not viewed as a major pubic-health problem in the study area, even though cases of elephantiasis and hydrocele were detected in 2%-8% and 7%-20% of the households investigated. Overall, 40% of the interviewees from very-low-income households and 78% of those from middle-income households knew that (the parasite causing) elephantiasis was transmitted by mosquitoes. Only 4% of the subjects from high-income areas and 1% of those from low-income areas were aware that filarial infection was a major cause of hydrocele. Most of the subjects (>55% of each of the four socio- economic groups considered) felt that they were not at risk of developing elephantiasis. When specifically asked, only 35% of the subjects from high-income households but 84% of those from low-income households said that they would be willing to consume tablets of an antifilarial drug (diethylcarbamazine) in MDA to eliminate LF. It is therefore unclear whether high-income households in urban areas should be included in MDA programmes. The interviewees felt that an intensive campaign of information, education, communication and advocacy would be necessary if an effective MDA-based programme were to be implemented. Drug distribution through the health services was the most preferred option.Clearly, factors such as a lack of appreciation of the socio-economic impact of LF, a general belief that the risk of elephantiasis is low, doubts about the need to include all sectors of the eligible population in MDA, and a common dependence on private practitioners make successful MDA against LF in urban areas a challenging task. On the positive side, however, an urban population is often covered by a huge network of colleges, private practitioners, non-governmental organizations and residents' associations, and such networks provide new opportunities in the development of effective drug-delivery strategies.
DOI: 10.1179/136485905X29701
PubMed: 15829134
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: 003D07
- to stream PubMed, to step Curation: 003D07
- to stream PubMed, to step Checkpoint: 003D07
- to stream Ncbi, to step Merge: 001E01
- to stream Ncbi, to step Curation: 001E01
- to stream Ncbi, to step Checkpoint: 001E01
- to stream Main, to step Merge: 008083
- to stream Main, to step Curation: 007E78
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Situation analysis in a large urban area of India, prior to launching a programme of mass drug administrations to eliminate lymphatic filariasis.</title>
<author><name sortKey="Ramaiah, K D" sort="Ramaiah, K D" uniqKey="Ramaiah K" first="K D" last="Ramaiah">K D Ramaiah</name>
<affiliation wicri:level="1"><nlm:affiliation>Vector Control Research Centre (Indian Council of Medical Research), Medical Complex, Indira Nagar, Pondicherry - 605 006, India. ramaiahk@yahoo.com</nlm:affiliation>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Vector Control Research Centre (Indian Council of Medical Research), Medical Complex, Indira Nagar, Pondicherry - 605 006</wicri:regionArea>
<wicri:noRegion>Pondicherry - 605 006</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Vijay Kumar, K N" sort="Vijay Kumar, K N" uniqKey="Vijay Kumar K" first="K N" last="Vijay Kumar">K N Vijay Kumar</name>
</author>
<author><name sortKey="Ravi, R" sort="Ravi, R" uniqKey="Ravi R" first="R" last="Ravi">R. Ravi</name>
</author>
<author><name sortKey="Das, P K" sort="Das, P K" uniqKey="Das P" first="P K" last="Das">P K Das</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PubMed</idno>
<date when="2005">2005</date>
<idno type="RBID">pubmed:15829134</idno>
<idno type="pmid">15829134</idno>
<idno type="doi">10.1179/136485905X29701</idno>
<idno type="wicri:Area/PubMed/Corpus">003D07</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">003D07</idno>
<idno type="wicri:Area/PubMed/Curation">003D07</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">003D07</idno>
<idno type="wicri:Area/PubMed/Checkpoint">003D07</idno>
<idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">003D07</idno>
<idno type="wicri:Area/Ncbi/Merge">001E01</idno>
<idno type="wicri:Area/Ncbi/Curation">001E01</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">001E01</idno>
<idno type="wicri:doubleKey">0003-4983:2005:Ramaiah K:situation:analysis:in</idno>
<idno type="wicri:Area/Main/Merge">008083</idno>
<idno type="wicri:Area/Main/Curation">007E78</idno>
<idno type="wicri:Area/Main/Exploration">007E78</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en">Situation analysis in a large urban area of India, prior to launching a programme of mass drug administrations to eliminate lymphatic filariasis.</title>
<author><name sortKey="Ramaiah, K D" sort="Ramaiah, K D" uniqKey="Ramaiah K" first="K D" last="Ramaiah">K D Ramaiah</name>
<affiliation wicri:level="1"><nlm:affiliation>Vector Control Research Centre (Indian Council of Medical Research), Medical Complex, Indira Nagar, Pondicherry - 605 006, India. ramaiahk@yahoo.com</nlm:affiliation>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Vector Control Research Centre (Indian Council of Medical Research), Medical Complex, Indira Nagar, Pondicherry - 605 006</wicri:regionArea>
<wicri:noRegion>Pondicherry - 605 006</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Vijay Kumar, K N" sort="Vijay Kumar, K N" uniqKey="Vijay Kumar K" first="K N" last="Vijay Kumar">K N Vijay Kumar</name>
</author>
<author><name sortKey="Ravi, R" sort="Ravi, R" uniqKey="Ravi R" first="R" last="Ravi">R. Ravi</name>
</author>
<author><name sortKey="Das, P K" sort="Das, P K" uniqKey="Das P" first="P K" last="Das">P K Das</name>
</author>
</analytic>
<series><title level="j">Annals of tropical medicine and parasitology</title>
<idno type="ISSN">0003-4983</idno>
<imprint><date when="2005" type="published">2005</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Animals</term>
<term>Anopheles</term>
<term>Attitude to Health</term>
<term>Disease Vectors</term>
<term>Elephantiasis, Filarial (prevention & control)</term>
<term>Elephantiasis, Filarial (psychology)</term>
<term>Endemic Diseases (prevention & control)</term>
<term>Humans</term>
<term>India</term>
<term>Patient Education as Topic</term>
<term>Preventive Health Services</term>
<term>Socioeconomic Factors</term>
<term>Urban Population</term>
<term>Wuchereria bancrofti</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Animaux</term>
<term>Anopheles</term>
<term>Attitude envers la santé</term>
<term>Facteurs socioéconomiques</term>
<term>Filariose lymphatique ()</term>
<term>Filariose lymphatique (psychologie)</term>
<term>Humains</term>
<term>Inde</term>
<term>Maladies endémiques ()</term>
<term>Population urbaine</term>
<term>Services de médecine préventive</term>
<term>Vecteurs de maladie</term>
<term>Wuchereria bancrofti</term>
<term>Éducation du patient comme sujet</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en"><term>India</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Elephantiasis, Filarial</term>
<term>Endemic Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Filariose lymphatique</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Elephantiasis, Filarial</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Animals</term>
<term>Anopheles</term>
<term>Attitude to Health</term>
<term>Disease Vectors</term>
<term>Humans</term>
<term>Patient Education as Topic</term>
<term>Preventive Health Services</term>
<term>Socioeconomic Factors</term>
<term>Urban Population</term>
<term>Wuchereria bancrofti</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Animaux</term>
<term>Anopheles</term>
<term>Attitude envers la santé</term>
<term>Facteurs socioéconomiques</term>
<term>Filariose lymphatique</term>
<term>Humains</term>
<term>Inde</term>
<term>Maladies endémiques</term>
<term>Population urbaine</term>
<term>Services de médecine préventive</term>
<term>Vecteurs de maladie</term>
<term>Wuchereria bancrofti</term>
<term>Éducation du patient comme sujet</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Inde</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">The main strategy now adopted for the elimination of lymphatic filariasis (LF) is based on mass drug administrations (MDA). Annual administration of antifilarial drugs to 65%-80% of the population at risk of the disease is believed to be necessary if LF is to be eliminated, at least as a public-health problem, within a reasonable time-frame. To facilitate the development of drug-delivery strategies that are sufficient to ensure such high treatment coverages in large urban areas, a situation analysis was undertaken in the Indian city of Chennai. The subjects interviewed came from households with high, moderate, low or very low incomes. A lack of information on the prevalence and socio-economic impact of the disease meant that LF was not viewed as a major pubic-health problem in the study area, even though cases of elephantiasis and hydrocele were detected in 2%-8% and 7%-20% of the households investigated. Overall, 40% of the interviewees from very-low-income households and 78% of those from middle-income households knew that (the parasite causing) elephantiasis was transmitted by mosquitoes. Only 4% of the subjects from high-income areas and 1% of those from low-income areas were aware that filarial infection was a major cause of hydrocele. Most of the subjects (>55% of each of the four socio- economic groups considered) felt that they were not at risk of developing elephantiasis. When specifically asked, only 35% of the subjects from high-income households but 84% of those from low-income households said that they would be willing to consume tablets of an antifilarial drug (diethylcarbamazine) in MDA to eliminate LF. It is therefore unclear whether high-income households in urban areas should be included in MDA programmes. The interviewees felt that an intensive campaign of information, education, communication and advocacy would be necessary if an effective MDA-based programme were to be implemented. Drug distribution through the health services was the most preferred option.Clearly, factors such as a lack of appreciation of the socio-economic impact of LF, a general belief that the risk of elephantiasis is low, doubts about the need to include all sectors of the eligible population in MDA, and a common dependence on private practitioners make successful MDA against LF in urban areas a challenging task. On the positive side, however, an urban population is often covered by a huge network of colleges, private practitioners, non-governmental organizations and residents' associations, and such networks provide new opportunities in the development of effective drug-delivery strategies.</div>
</front>
</TEI>
<affiliations><list><country><li>Inde</li>
</country>
</list>
<tree><noCountry><name sortKey="Das, P K" sort="Das, P K" uniqKey="Das P" first="P K" last="Das">P K Das</name>
<name sortKey="Ravi, R" sort="Ravi, R" uniqKey="Ravi R" first="R" last="Ravi">R. Ravi</name>
<name sortKey="Vijay Kumar, K N" sort="Vijay Kumar, K N" uniqKey="Vijay Kumar K" first="K N" last="Vijay Kumar">K N Vijay Kumar</name>
</noCountry>
<country name="Inde"><noRegion><name sortKey="Ramaiah, K D" sort="Ramaiah, K D" uniqKey="Ramaiah K" first="K D" last="Ramaiah">K D Ramaiah</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 007E78 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 007E78 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Sante |area= LymphedemaV1 |flux= Main |étape= Exploration |type= RBID |clé= pubmed:15829134 |texte= Situation analysis in a large urban area of India, prior to launching a programme of mass drug administrations to eliminate lymphatic filariasis. }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:15829134" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \ | NlmPubMed2Wicri -a LymphedemaV1
This area was generated with Dilib version V0.6.31. |