Rapid epidemiological mapping of onchocerciasis (REMO): its application by the African Programme for Onchocerciasis Control (APOC)

Annals of Tropical Medicine & Parasitology Pub Date : 2002-03-01 DOI:10.1179/000349802125000637

M. Noma, B. Nwoke, I. Nutall, P. Tambala, P. Enyong, A. Namsenmo, J. H. Remme, U. Amazigo, Oladele O. Kale, A. Sékétéli

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引用次数: 142

Abstract

Abstract One of the fundamental challenges that the African Programme for Onchocerciasis Control (APOC) has had to face is how to identify the endemic communities where its mass ivermectin-treatment operations are to be carried out in conformity with its stated objective of targetting the most highly endemic, aVected and at-risk populations. This it has done by adopting a technique, known as the rapid epidemiological mapping of onchocerciasis (REMO), that provides data on the distribution and prevalence of onchocerciasis. Integration of the REMO data into a geographical information system (GIS) enables delineation of zones of various levels of endemicity, and this is an important step in the planning process for onchocerciasis control. Zones are included in (or excluded from) the APOC-funded programme of community-directed treatment with ivermectin (CDTI), depending on whether or not their levels of onchocercal endemicity reach the threshold set by APOC. This review describes the application of the REMO/GIS technique by APOC in its operations, and identifies the remaining related challenges.

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盘尾丝虫病快速流行病学制图:非洲盘尾丝虫病控制规划的应用

非洲盘尾丝虫病控制规划(APOC)必须面对的一个基本挑战是，如何确定在哪些流行社区开展大规模伊维菌素治疗行动，以符合其既定目标，即针对流行程度最高、未受感染和高危人群。为此，世卫组织采用了一种称为盘尾丝虫病快速流行病学制图的技术，该技术提供了有关盘尾丝虫病分布和流行的数据。将REMO数据整合到地理信息系统(GIS)中，可以划定不同程度的流行区，这是盘尾丝虫病控制规划过程中的一个重要步骤。根据各地区的盘尾虫地方性流行水平是否达到APOC设定的阈值，将这些地区纳入(或排除在)APOC资助的社区指导的伊维菌素治疗规划之外。这篇综述描述了APOC在其作业中对REMO/GIS技术的应用，并指出了剩余的相关挑战。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Annals of Tropical Medicine & Parasitology

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