Objective: Maternal health care workers' recognition of malaria, its transmission and treatment of children's fever at community level. Design: Randomised sampling of households with children of 0-5 years. Setting: Rural community in a forest zone. Subjects: Fifty-five households at Ijegemo village, Ogun state, Nigeria were sampled and questionnaires administered to 200 mothers/care workers of children within the age group 0-5 years. Blood smears were obtained from finger pricks and level of parasitemia with malaria parasites determined for each child. Main outcome measures: Interactions with the women during the survey empowered them with accurate knowledge of malaria recognition, transmission and management of children's fever at the community level. Results: Forty per cent of the respondents did not know the exact cause of malaria, 20% attributed the cause to sunlight, 16.5% to mosquitoes, 12.5% to poor hygiene, 4% to palm oil intake, 4% to blood shortage and 6% to a hot body. Of respondents 85.5% identified stagnant water as breeding site of mosquitoes but could not correlate it with the occurrence of malaria fever. Herbal concoction was the first treatment action. Some of these herbs are listed in the text. Plasmodium falciparum alone was identified in all blood smears. Children at two to three years of age were recorded with the highest percentage (67.5%) of parasite-positive cases with a mean value of 1237.04 ± 2113.19. Conclusion: This study highlights a critical need for targeting health messages towards poorly educated women in order to empower them with the knowledge and resources to recognise and manage their children's health problems.

Three communities along Badagry axis of the Lagos lagoon were sampled for indoor resting Anopheles mosquitoes in order to determine their species composition, relative abundance, density and contribution to malaria transmission in the coastal ecosystem. A total of 1938 adult female Anopheles mosquitoes collected from 2005 to 2007 constituted three species viz Anopheles gambiae, An melas and An. nili. The Polymerase Chain Reaction (PCR)–-based tests indicated that more than three-fourth of the An. gambiae s.l (75.8%) population belongs to An. gambiae s.s the remaining were An. melas. Further analysis showed that all the An. gambiae s.s was the M form. ELISA-based analyses indicated that An. gambiae s.s and An. melas were the main vectors of malaria in this area with an overall P. falciparum sporozoite infection rate of 4.8% and 6.5% respectively. Both species also maintained relatively high EIR indicating their prominent roles in malaria transmission in the study area. All the An. nili tested were negative for P. falciparum sporozoite infection. This study provides baseline information for planning vector control programme relevant to reduction of malaria transmission in the coastal areas of Nigeria.

The rapid assessment procedure for loiasis (RAPLOA) was used to assess the prevalences of loiasis among 4800 subjects in 60 villages in Ondo state, south-western Nigeria. Coverages for community-directed treatment with ivermectin (CDTI) were assessed in the same communities, which were located in the Owo, Akure North, Ifedore, Akure South, Ondo East and Ondo West local government areas (LGA). In addition, fingerprick blood samples were collected from 80 individuals in each of six villages (i.e. one village in each LGA investigated) and checked for Loa loa microfilaraemia. Microfilaraemias were only detected in three of the villages where blood samples were collected and then only at low prevalences (1.25%-5.0%) and intensities (267-1600 microfilariae/ml). No serious adverse events were or ever had been related to the CDTI but mild or moderate adverse reactions were quite common, especially in Akure North (55.0%) and Owo (40.2%). A female subject was more likely to report an history of eye worm than a male subject (20.3%-35.7% v. 20.8%-26.5%, according to LGA). Although the subjects aged 41-50 years formed the age-group most likely to report an history of eye worm (32.7%), the highest CDTI coverage was recorded in the subjects aged 61-70 years (54.7%). The results indicated that CDTI had helped to reduce the prevalence and intensity of Loa microfilaraemia and that ivermectin can continue to be used for mass administrations in Ondo state with little risk of serious adverse events.

Onchocerciasis is an endemic disease in Ondo state, Nigeria. Community directed distribution of ivermectin is currently ongoing in some local government areas of the state. Randomly selected persons (2 331 males and 2 469 females) were interviewed using a modified rapid assessment procedure for Loa loa (RAPLOA) to assess community directed treatment with ivermectin. The retrospective study evaluated the coverage, impacts and adverse reactions to the drug treatment. A questionnaire was administered by house-to-house visit in six local government areas, implementing community directed treatment with ivermectin (CDTI) in this bioclimatic zone. A total of 2,398 respondents were reported to have participated in the treatment. The overall ivermectin coverage of 49.96% was recorded (range 0-52% in different communities). Adverse reactions from ivermectin administration were experienced in 38% of individuals. Diverse adverse reactions experienced included predominantly itching (18.50%); oedema, especially of the face and the limbs (8.2%); rashes (3.4%) and body weakness (2.4%). Expulsion of intestinal worms occurred in 0.96% of the respondents. The occurrence of adverse reactions in relation to age categories was statistically significant. Neither fatal nor severe adverse reactions were reported by respondents. Significantly, despite experienced adverse reactions, continued participation, acceptability and compliance to ivermectin treatment was expressed by the various communities. This attitude is in consonance with the African Programme for Onchocerciasis Control (APOC) objectives. Rev. Biol.

Elimination of malaria infection with available antimalarial drugs is threatened by resistance developed by Plasmodium species and requires alternative drugs. Thaumatococcus danielli leaves are traditionally used in some local communities in Nigeria to treat malaria. However, no scientific study has proven this claim. This study evaluated the antiplasmodial activity of T. danielli extracts in Swiss albino mice. Qualitative phytochemical analysis of the choice plant and acute toxicity of its extracts were performed followed by a suppressive test of plant extracts against Plasmodium berghei (NK-65 strain). Parasitaemia, temperature, weight, packed cell volume, and mean survival time of the mice were monitored during the test. Data analysis was executed with a one-way analysis of variance and Tukey’s posthoc test in Windows SPSS version 26.0. Ethyl acetate extract at 800mg/kg body weight had the highest suppressive effect of 67.37% in a dose-dependent pattern (p < 0.001). The extract also prevented the decrease in red blood cells, body temperature and caused an appreciable increase in weight (p > 0.05), making it an ideal antiplasmodial extract. Non-toxic extracts of the test plant had considerable antimalarial efficacy caused by detected phytochemicals associated with antimalarial activity. The bioassay of isolated and characterized active compound(s) of the test plant is necessary for the development of new antimalarial(s) from T. danielli leaves.