Abstract

IntroductionIn 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.MethodsMicroscopic 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.ResultsMicrofilaria 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.ConclusionMass 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.

Highlights

  • 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

  • WHO guideline for monitoring and evaluating coverage and impact of LF control programmes is that the sentinel site should be used to ascertain that the baseline indicators will make it feasible to conduct periodic evaluation of the parasitological indicators during mass drug administration (MDA) [1]

  • Lymphatic filariasis is prevalent in all states and geopolitical zones of Nigeria and a total of 241 lymphodema and 205 hydrocele cases have been reported from mapping surveys conducted in the country [4,7]

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Summary

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. An estimated 1.34 billion people in 81 countries are at risk of infection by the disease and about 40 million people suffer from the clinical manifestations of the disease [1,2]. This includes 15 million with lymphoedema (elephantiasis) and 25 million men who have urogenital swelling, especially scrotal hydrocele [1]. Lymphatic filariasis is prevalent in all states and geopolitical zones of Nigeria and a total of 241 lymphodema and 205 hydrocele cases have been reported from mapping surveys conducted in the country [4,7]

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