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High prevalence of Wuchereria bancrofti infection as detected by immunochromatographic card testing in five districts of Orissa, India, previously considered to be non-endemic

Identifieur interne : 003398 ( Pmc/Checkpoint ); précédent : 003397; suivant : 003399

High prevalence of Wuchereria bancrofti infection as detected by immunochromatographic card testing in five districts of Orissa, India, previously considered to be non-endemic

Auteurs : Patricia K. Foo [États-Unis] ; Alessandro Tarozzi [États-Unis] ; Aprajit Mahajan [États-Unis] ; Joanne Yoong [États-Unis] ; Lakshmi Krishnan ; Daniel Kopf ; Brian G. Blackburn [États-Unis]

Source :

RBID : PMC:3031494

Abstract

Summary

India accounts for over one-third of the world’s burden of lymphatic filariasis (LF). Although most coastal districts of Orissa state (eastern India) are LF-endemic, the western districts of Orissa are considered non-endemic. During a large-scale insecticide-treated bed net/microfinance trial, we tested one randomly selected adult (age 15–60 years) for LF from a random sample of microfinance-member households in five districts of western Orissa, using immunochromatographic card testing (ICT). Overall, 354 (adjusted prevalence 21%, 95%CI 17–25%) of 1563 persons were ICT positive, with district-wide prevalence rates ranging from 15–32%. This finding was not explained by immigration, as only 3% of subjects had ever lived in previously known LF-endemic districts. These results therefore suggest ongoing autochthonous transmission in districts where LF control programs are not operational. Our results highlight the importance of broad, systematic surveillance for LF in India and call for the implementation of LF control programs in our study districts.


Url:
DOI: 10.1016/j.trstmh.2010.10.006
PubMed: 21122883
PubMed Central: 3031494


Affiliations:


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PMC:3031494

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<title>Summary</title>
<p id="P3">India accounts for over one-third of the world’s burden of lymphatic filariasis (LF). Although most coastal districts of Orissa state (eastern India) are LF-endemic, the western districts of Orissa are considered non-endemic. During a large-scale insecticide-treated bed net/microfinance trial, we tested one randomly selected adult (age 15–60 years) for LF from a random sample of microfinance-member households in five districts of western Orissa, using immunochromatographic card testing (ICT). Overall, 354 (adjusted prevalence 21%, 95%CI 17–25%) of 1563 persons were ICT positive, with district-wide prevalence rates ranging from 15–32%. This finding was not explained by immigration, as only 3% of subjects had ever lived in previously known LF-endemic districts. These results therefore suggest ongoing autochthonous transmission in districts where LF control programs are not operational. Our results highlight the importance of broad, systematic surveillance for LF in India and call for the implementation of LF control programs in our study districts.</p>
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infection as detected by immunochromatographic card testing in five districts of Orissa, India, previously considered to be non-endemic</article-title>
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<given-names>Patricia K.</given-names>
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<xref rid="A2" ref-type="aff">b</xref>
<xref rid="FN1" ref-type="author-notes">*</xref>
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<name>
<surname>Tarozzi</surname>
<given-names>Alessandro</given-names>
</name>
<xref rid="A3" ref-type="aff">c</xref>
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<name>
<surname>Mahajan</surname>
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<name>
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<given-names>Joanne</given-names>
</name>
<xref rid="A4" ref-type="aff">d</xref>
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<name>
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<given-names>Lakshmi</given-names>
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</name>
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<name>
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School of Medicine, Stanford University, 300 Pasteur Drive, Stanford, CA 94305, USA</aff>
<aff id="A2">
<label>b</label>
Department of Economics, Stanford University, 579 Serra Mall, Stanford University, Stanford, CA, 94305-6072, USA</aff>
<aff id="A3">
<label>c</label>
Department of Economics, Duke University, P.O. Box 90097, Durham, NC, 27708, USA</aff>
<aff id="A4">
<label>d</label>
RAND Corporation, 1200 South Hayes Street, Arlington, VA, 22202, USA</aff>
<aff id="A5">
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Centre for Microfinance, Institute for Financial Management and Research, 31/2 A, Pantheon Road, Egmore, Chennai 600 008 India</aff>
<aff id="A6">
<label>f</label>
Division of Infectious Diseases and Geographic Medicine, Department of Internal Medicine, 300 Pasteur Drive, Grant Bldg Rm S101, Stanford, CA, 94305-5107, USA</aff>
<author-notes>
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Corresponding author: Tel.: +650 725 3266; fax: +650 725 5702;
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<volume>105</volume>
<issue>2</issue>
<fpage>109</fpage>
<lpage>114</lpage>
<abstract>
<title>Summary</title>
<p id="P3">India accounts for over one-third of the world’s burden of lymphatic filariasis (LF). Although most coastal districts of Orissa state (eastern India) are LF-endemic, the western districts of Orissa are considered non-endemic. During a large-scale insecticide-treated bed net/microfinance trial, we tested one randomly selected adult (age 15–60 years) for LF from a random sample of microfinance-member households in five districts of western Orissa, using immunochromatographic card testing (ICT). Overall, 354 (adjusted prevalence 21%, 95%CI 17–25%) of 1563 persons were ICT positive, with district-wide prevalence rates ranging from 15–32%. This finding was not explained by immigration, as only 3% of subjects had ever lived in previously known LF-endemic districts. These results therefore suggest ongoing autochthonous transmission in districts where LF control programs are not operational. Our results highlight the importance of broad, systematic surveillance for LF in India and call for the implementation of LF control programs in our study districts.</p>
</abstract>
<kwd-group>
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