Impact of Eighteen-Year Varied Compliance to Onchocerciasis Treatment with Ivermectin in Sentinel Savannah Agrarian Communities in Kaduna State of Nigeria
Baseline and impact assessment data were generated in 1994 (n=532) and 2011 (n=593) from 6 sentinel villages with generalized onchocerciasis. Only volunteers and a cohort (n=445,75%) were screened at both visits. Each village had received 11 (64.7%) annual treatments and 92.6%, range 88.7–100%, trea...
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description | Baseline and impact assessment data were generated in 1994 (n=532) and 2011 (n=593) from 6 sentinel villages with generalized onchocerciasis. Only volunteers and a cohort (n=445,75%) were screened at both visits. Each village had received 11 (64.7%) annual treatments and 92.6%, range 88.7–100%, treatment compliance. Overall mean number of treatment was 2.9 ± 1.6 with a range 2.0 ± 1.2–3.3 ± 0.6. Significant decreases in skin microfilaria prevalence from 201 (38%) to 0 (0%), palpable nodule from 77 (15%) to 4 (0.7%), dermal changes from 51 (9.6%) to 2 (0.04%), optic nerve disease from 24 (4.5%) to 4 (2.0%), and onchocercal inducible ocular lesions from 31 (5.8%) to 12 (2.0%) were recorded, P |
doi_str_mv | 10.5402/2013/960168 |
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P. ; Kalyanasundaram, R.</contributor><creatorcontrib>Osue, Hudu O. ; Inabo, Helen I. ; Yakubu, Sabo E. ; Audu, Patrick A. ; Galadima, Musa ; Odama, Lillian E. ; Musa, Danjuma ; Ado, Saleh A. ; Mamman, Mohammed ; Dash, A. P. ; Kalyanasundaram, R.</creatorcontrib><description>Baseline and impact assessment data were generated in 1994 (n=532) and 2011 (n=593) from 6 sentinel villages with generalized onchocerciasis. Only volunteers and a cohort (n=445,75%) were screened at both visits. Each village had received 11 (64.7%) annual treatments and 92.6%, range 88.7–100%, treatment compliance. Overall mean number of treatment was 2.9 ± 1.6 with a range 2.0 ± 1.2–3.3 ± 0.6. Significant decreases in skin microfilaria prevalence from 201 (38%) to 0 (0%), palpable nodule from 77 (15%) to 4 (0.7%), dermal changes from 51 (9.6%) to 2 (0.04%), optic nerve disease from 24 (4.5%) to 4 (2.0%), and onchocercal inducible ocular lesions from 31 (5.8%) to 12 (2.0%) were recorded, P<0.05, (t-test of unpaired data). Cases of glaucoma, 8 (1.4%), and blindness, 6 (1.05%), remained unchanged. Visual acuity ≥6/24 in one or both eyes, 198 (33.45%); cataract, 169 (28.5%); pterygium 157 (26.5%); and acute senilis, 165 (27.9%), were significantly increased and positively correlated with increase in age (R2=0.898−0.949). Dissected parous Simulium damnosum caught (n=222) were without infective third stage larva. Active onchocerciasis transmission seems halted despite varied compliance to long-term ivermectin treatment. We recommend continued surveillance and targeted treatment of controlled and hypoendemic areas.</description><identifier>ISSN: 2314-4076</identifier><identifier>EISSN: 2314-4076</identifier><identifier>DOI: 10.5402/2013/960168</identifier><identifier>PMID: 27398386</identifier><language>eng</language><publisher>United States: Hindawi Publishing Corporation</publisher><ispartof>ISRN Parasitology, 2013-08, Vol.2013, p.960168-10</ispartof><rights>Copyright © 2013 Hudu O. Osue et al.</rights><rights>Copyright © 2013 Hudu O. Osue et al. 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2618-560da5045d330d780a98dce0899e97ed7596bd6be5a5534740400c8f191de5103</citedby><cites>FETCH-LOGICAL-c2618-560da5045d330d780a98dce0899e97ed7596bd6be5a5534740400c8f191de5103</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4890928/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4890928/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27398386$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Dash, A. P.</contributor><contributor>Kalyanasundaram, R.</contributor><creatorcontrib>Osue, Hudu O.</creatorcontrib><creatorcontrib>Inabo, Helen I.</creatorcontrib><creatorcontrib>Yakubu, Sabo E.</creatorcontrib><creatorcontrib>Audu, Patrick A.</creatorcontrib><creatorcontrib>Galadima, Musa</creatorcontrib><creatorcontrib>Odama, Lillian E.</creatorcontrib><creatorcontrib>Musa, Danjuma</creatorcontrib><creatorcontrib>Ado, Saleh A.</creatorcontrib><creatorcontrib>Mamman, Mohammed</creatorcontrib><title>Impact of Eighteen-Year Varied Compliance to Onchocerciasis Treatment with Ivermectin in Sentinel Savannah Agrarian Communities in Kaduna State of Nigeria</title><title>ISRN Parasitology</title><addtitle>ISRN Parasitol</addtitle><description>Baseline and impact assessment data were generated in 1994 (n=532) and 2011 (n=593) from 6 sentinel villages with generalized onchocerciasis. Only volunteers and a cohort (n=445,75%) were screened at both visits. Each village had received 11 (64.7%) annual treatments and 92.6%, range 88.7–100%, treatment compliance. Overall mean number of treatment was 2.9 ± 1.6 with a range 2.0 ± 1.2–3.3 ± 0.6. Significant decreases in skin microfilaria prevalence from 201 (38%) to 0 (0%), palpable nodule from 77 (15%) to 4 (0.7%), dermal changes from 51 (9.6%) to 2 (0.04%), optic nerve disease from 24 (4.5%) to 4 (2.0%), and onchocercal inducible ocular lesions from 31 (5.8%) to 12 (2.0%) were recorded, P<0.05, (t-test of unpaired data). Cases of glaucoma, 8 (1.4%), and blindness, 6 (1.05%), remained unchanged. Visual acuity ≥6/24 in one or both eyes, 198 (33.45%); cataract, 169 (28.5%); pterygium 157 (26.5%); and acute senilis, 165 (27.9%), were significantly increased and positively correlated with increase in age (R2=0.898−0.949). Dissected parous Simulium damnosum caught (n=222) were without infective third stage larva. Active onchocerciasis transmission seems halted despite varied compliance to long-term ivermectin treatment. 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P.</au><au>Kalyanasundaram, R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of Eighteen-Year Varied Compliance to Onchocerciasis Treatment with Ivermectin in Sentinel Savannah Agrarian Communities in Kaduna State of Nigeria</atitle><jtitle>ISRN Parasitology</jtitle><addtitle>ISRN Parasitol</addtitle><date>2013-08-25</date><risdate>2013</risdate><volume>2013</volume><spage>960168</spage><epage>10</epage><pages>960168-10</pages><issn>2314-4076</issn><eissn>2314-4076</eissn><abstract>Baseline and impact assessment data were generated in 1994 (n=532) and 2011 (n=593) from 6 sentinel villages with generalized onchocerciasis. Only volunteers and a cohort (n=445,75%) were screened at both visits. Each village had received 11 (64.7%) annual treatments and 92.6%, range 88.7–100%, treatment compliance. Overall mean number of treatment was 2.9 ± 1.6 with a range 2.0 ± 1.2–3.3 ± 0.6. Significant decreases in skin microfilaria prevalence from 201 (38%) to 0 (0%), palpable nodule from 77 (15%) to 4 (0.7%), dermal changes from 51 (9.6%) to 2 (0.04%), optic nerve disease from 24 (4.5%) to 4 (2.0%), and onchocercal inducible ocular lesions from 31 (5.8%) to 12 (2.0%) were recorded, P<0.05, (t-test of unpaired data). Cases of glaucoma, 8 (1.4%), and blindness, 6 (1.05%), remained unchanged. Visual acuity ≥6/24 in one or both eyes, 198 (33.45%); cataract, 169 (28.5%); pterygium 157 (26.5%); and acute senilis, 165 (27.9%), were significantly increased and positively correlated with increase in age (R2=0.898−0.949). Dissected parous Simulium damnosum caught (n=222) were without infective third stage larva. Active onchocerciasis transmission seems halted despite varied compliance to long-term ivermectin treatment. We recommend continued surveillance and targeted treatment of controlled and hypoendemic areas.</abstract><cop>United States</cop><pub>Hindawi Publishing Corporation</pub><pmid>27398386</pmid><doi>10.5402/2013/960168</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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title | Impact of Eighteen-Year Varied Compliance to Onchocerciasis Treatment with Ivermectin in Sentinel Savannah Agrarian Communities in Kaduna State of Nigeria |
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