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尼日利亚奥贡州两个哨点的淋巴丝虫病基线调查。

Lymphatic filariasis baseline survey in two sentinel sites of Ogun state, Nigeria.

作者信息

Okorie Patricia Nkem, Davies Emmanuel, Ogunmola Olushola Omoniyi, Ojurongbe Olusola, Saka Yisa, Okoeguale Bridget, Braide Ekanem Ikpi

机构信息

Institute for Advanced Medical Research and Training, College of Medicine, University of Ibadan, Ibadan, Nigeria.

Ministry of Health, Nigeria.

出版信息

Pan Afr Med J. 2015 Apr 23;20:397. doi: 10.11604/pamj.2015.20.397.5686. eCollection 2015.

Abstract

INTRODUCTION

In preparation for Mass Drug Administration by National Lymphatic Filariasis Elimination Programme, a baseline epidemiological investigation on lymphatic filariasis (LF) was conducted in two sentinel sites of Ogun State, Nigeria. The study was carried out in Ado-Odo Ota and Abeokuta South Local Government Areas (LGAs) to determine LF prevalence, microfilarial density and the abundance of Wucheraria bancrofti in the mosquito vectors.

METHODS

Microscopic examination of thick blood smears of 299 and 288 participants from Ado-Odo Ota and Abeokuta South LGAs was conducted. Visual observations of clinical manifestations of chronic infection and questionnaire administration were also conducted. Indoor resting mosquitoes were collected using the pyrethrum spray technique and CDC light traps and mosquitoes were dissected for filarial larvae.

RESULTS

Microfilaria prevalences were 4.0% and 2.4% in Ado-odo Ota and Abeokuta South LGAs. The microflarial density (mfd) was 30.6mf/ml and 23.9 mf/ml in the same areas. No clinical manifestations of the infection were found at both sites. Knowledge of LF by inhabitants was very low in the two areas. Anopheles gambiae s.l and Culex species mosquitoes were collected but none was found positive for stage L3 infective larvae.

CONCLUSION

Mass awareness campaigns on the goal of mass drug administration, cause of LF, mode of transmission, the relationship between infection and clinical signs/symptoms is advocated so as to increase acceptance and support of the control programme by the community.

摘要

引言

为尼日利亚国家淋巴丝虫病消除计划开展大规模药物给药做准备,在尼日利亚奥贡州的两个哨点对淋巴丝虫病(LF)进行了基线流行病学调查。该研究在阿多 - 奥多 - 奥塔和阿贝奥库塔南地方政府辖区(LGAs)开展,以确定淋巴丝虫病的患病率、微丝蚴密度以及蚊媒中班氏吴策线虫的丰度。

方法

对来自阿多 - 奥多 - 奥塔和阿贝奥库塔南地方政府辖区的299名和288名参与者的厚血涂片进行显微镜检查。还对慢性感染的临床表现进行了目视观察并进行了问卷调查。使用除虫菊酯喷雾技术和疾控中心诱蚊灯收集室内栖息蚊子,并解剖蚊子以检查丝虫幼虫。

结果

阿多 - 奥多 - 奥塔和阿贝奥库塔南地方政府辖区的微丝蚴患病率分别为4.0%和2.4%。同一地区的微丝蚴密度分别为30.6条/毫升和23.9条/毫升。在这两个地点均未发现感染的临床表现。这两个地区居民对淋巴丝虫病的了解程度很低。收集到了冈比亚按蚊复合组和库蚊属蚊子,但未发现任何一只蚊子的L3感染期幼虫呈阳性。

结论

倡导开展关于大规模药物给药目标、淋巴丝虫病病因、传播方式、感染与临床体征/症状之间关系的大规模宣传活动,以提高社区对控制计划的接受度和支持度。

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