Lymphatic Filariasis Baseline Survey in Osun State, Nigeria -

L. Usip, E. Davies, Y. Saka, B. Okoeguale, E. Nwosu, C. Ityonzughul
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Abstract

The LF Baseline Surveys were carried out in three LGAs (Sentinel Sites) of three Senatorial Districts. These are: Olorunda LGA (Ilie communities) of Osun Central Senatorial District, Ife North LGA (Akinladu community) of Osun East Senatorial District and Ejigbo (Ifeodan community) of Osun West Senatorial district. A total of 967 human blood samples and 931 mosquitoes were collected during the survey in 3 LGAs (Sentinel sites). Blood samples were collected according to WHO prescribed protocol. Thick film method was used for the examination of the mocrofileria. The parasitological result showed microfilaria (mf) prevalence (%) of 1.2 % (Ife North LGA), 1.6% (Olorunda LGA) & 1.6% (Ejigbo LGA). Pyrethrum spray sheet methods was used for collection of mosquitoes. The mosquitoes were identifies and were dissected for prevalent of Wuchereria bancrofti larval stages. The entomological result revealed that out of 931 mosquitoes collected, 725 (77.9%) were Anopheles species, 201 (21.6%) were Culex quinquefasciatus while 10(1.1%) were Mansonia Africana and their prevalence of evections were 17(2.4%), 4(1.9%) and 0(0.0%). Treatment for Onchocerciasis has been ongoing in the past 16 year in Ife north and Olorunda LGAs and 7 years in Ejigbo LGA. The results from the survey have shown that despite the number of years of treatment with ivermectin, LF transmission is ongoing in all endemic LGAs of Osun State. The big challenge of the State health workers is inadequate resources (human, materials & transport) to effectively scale-up treatment in the State. Therefore, it is recommended that the Osun State Ministry of Health collaborates with the relevant Stakeholders to ensure availability of adequate logistics to upscale LF treatment in the State.
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尼日利亚奥孙州淋巴丝虫病基线调查
基线调查在三个参议院选区的三个哨点进行。它们是:奥松中部参议院区的Olorunda LGA(伊利族社区),奥松东部参议院区的Ife North LGA (Akinladu社区)和奥松西部参议院区的Ejigbo(伊菲丹族社区)。在3个哨点共采集人血967份,蚊虫931只。按照世卫组织规定的程序采集血样。采用厚膜法对微丝蚴进行检查。微丝虫(mf)阳性率分别为1.2% (Ife North LGA)、1.6% (Olorunda LGA)和1.6% (Ejigbo LGA)。蚊虫采集采用除虫菊喷雾片法。对蚊虫进行鉴定和解剖,确定班氏乌切里氏菌幼虫流行期。昆虫学结果显示,共捕获蚊虫931只,按蚊725只(77.9%),致倦库蚊201只(21.6%),非洲曼蚊10只(1.1%),其产卵率分别为17只(2.4%)、4只(1.9%)和0只(0.0%)。在过去16年中,北伊夫州和奥洛伦达州一直在进行盘尾丝虫病治疗,在埃希波州进行了7年治疗。调查结果表明,尽管用伊维菌素治疗多年,但在奥松州所有地方性地方感染中,LF传播仍在继续。国家卫生工作者面临的巨大挑战是资源(人力、物资和运输)不足,无法有效扩大国家的治疗规模。因此,建议奥松州卫生部与相关利益攸关方合作,确保在该州提供足够的后勤保障,以提高LF治疗水平。
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