Socio-cultural insights and lymphatic filariasis control – lessons from the Pacific

Wynd, Shona; Dürrheim, David N; Carron, Jaime; Selve, Billy; Chaine, JP; Leggat, Peter A.; Melrose, Wayne

doi:10.1186/1475-2883-6-3

Cited by 8 publications

(4 citation statements)

References 5 publications

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“…A convenience sample survey carried out between 1999 and 2001 in Chuuk and Yap found only five of 2392 (0.2%) participant samples positive for W. bancrofti using the filarial antigen immunochromatographic card test (ICT) method [ 1 ]. At this time, the overall prevalence of LF in FSM was considered to be sufficiently negligible that the area was considered non-endemic [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Identification and control of an isolated, but intense focus of lymphatic filariasis on Satawal Island, Federated States of Micronesia, in 2003

et al. 2017

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BackgroundThere is very limited data available on the prevalence of Bancroftian filariasis in the Federated States of Micronesia (FSM). Considerable attempts to eliminate the disease had occurred in the Pacific region by the year 2003, and the prevalence in FSM was thought to be sufficiently low that the region was considered non-endemic. However, a survey conducted in 2003 on an isolated atoll of FSM, Satawal Island, challenged that assumption.MethodsParticipants on Satawal Island were recruited and their blood tested for Wuchereria bancrofti antigen by the filariasis immunochromatographic test (ICT) card and circulating microfilaria by Knott’s concentration technique. A survey for active cases of lymphoedema, elephantiasis and hydrocoele was performed and mosquitoes were trapped and dissected to detect larvae of W. bancrofti.ResultsA total of 104 males and 149 females from early teens to mid-80s were tested. Men had a significantly higher prevalence of infection than women in both the ICT test (53 vs 28%; p < 0.001) and by Knott’s concentration results (37 vs 11%; p < 0.001). Microfilaria prevalence was higher in subjects ≤25 than in those >25 years of age. All persons sampled were treated for LF. No cases of elephantiasis or hydrocoele were detected. No Aedes dissected were positive but three of nine culicine mosquitoes were positive for L1–3 larval stages of W. bancrofti by microscopy. In depth interviews were conducted with residents and chiefs.ConclusionsThis survey showed that even in regions thought to be close to elimination, isolated high intensity foci of lymphatic filariasis may occur. These need to be recognized and control measures instituted such as local MDA as in the current study.

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Section: Introductionmentioning

confidence: 99%

Identification and control of an isolated, but intense focus of lymphatic filariasis on Satawal Island, Federated States of Micronesia, in 2003

et al. 2017

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“…Beliefs about disease causality and transmission were thoroughly discussed in a review by Wynd 15 ) and confirm that little information has been formally collected about how communities incorporate LF, its origins and impact, into local knowledge systems. The role of mosquitoes in transmitting the parasitic agents of filariasis is poorly appreciated in many endemic communities; hence, there is little awareness in these areas of the importance of minimizing mosquito contact for preventing infection 16 ) .…”

Section: Discussionmentioning

confidence: 97%

Greater Adherence to Mass Drug AdministrationAgainst Lymphatic Filariasis through TraditionalVillage Forums in Fiji

et al. 2012

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Objective: The aim of this study was to elucidate the roles of knowledge related to lymphatic filariasis (LF), contributions of taking roles in community activities to eradicate LF and participation in traditional village forums in adherence to mass drug administration (MDA) in a preventive chemotherapy program targeted at the community residents.Materials and Methods: A survey on ingestion of diethylcarbamazine (DEC) and albendazole (ALB), knowledge related to LF, taking roles in community activities and participation in traditional village forums was carried out for 400 adult subjects randomly selected from the Central Division of Fiji within three months after the MDA campaign in 2010 in the respective communities. Multilevel logistic regression analysis and multilevel linear regression analysis were performed to examine relationships between knowledge, community activities, traditional village forums and ingestion of anti-filarial drugs. The LF knowledge score was defined as a factor score of five knowledge variables.Results: Among 324 respondents, 40.4% of them ingested both DEC and ALB. Participation in traditional village forums was independently and significantly related to ingestion of DEC and ALB (OR=1.78, 95% CI=1.04–3.05) and taking roles in community activities for MDA (OR=1.87, 95% CI=1.18–2.94), regardless of the subject’s gender, education, knowledge and taking roles in community activities. Taking roles in community activities for MDA was independently related to the LF knowledge score (β=0.24, 95% CI=0.15–0.33).Conclusion: Participation in traditional village forums in Fiji was related to taking roles in community activities for MDA and associated with adherence to MDA regimen regardless of the educational attainment of the individual residents.

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“…As the severity of the disease becomes more apparent, social and economic stigma follow suit. Most females in India, East Africa, and Haiti, for example, are expected to nurture children [26]. However, young, unmarried women with LF are unable to abide by the standards set by society, due to limited marriage prospects [9].…”

Section: Lymphatic Filariasis : a Neglected Poor People Disease Of Tr...mentioning

confidence: 99%

"Prevalence of Lymphatic Filariasis in North and South Zones of Bangladesh"

Khanum

2023

BJSTR

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The present study was carried out mainly in the two extremely poor prone zones like north and south zones of the country consisting of 20 districts, among those, three districts like Gaibandha, Sylhet, Mymensingh are non-endemic areas of filariasis. Out of 20 studied districts, Bagerhat, Gopalganj, Sylhet, Narail, Mymensingh and Norshindhi have no patients of filariasis. 89.81% patients were found in endemic area (17 districts) and 10.18% patients were found in non-endemic area (3 districts). The highest frequency of patients was found in Lalmonirhat and Thakurgaon followed by Gaibandha. In the present study, 69.2% patients were found in the north zone and 30.8% patients in south zone. There were no patients in the age group (0-10), the highest number of patients was found in the age group (41-50) and gradually it is decreasing with the age. 90.5% of patients were suffering from leg swelling followed by hand swelling (7.6%). About 0.7% and 1.2% of patients were suffering from breast and scrotum swelling respectively.

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Socio-cultural insights and lymphatic filariasis control – lessons from the Pacific

Cited by 8 publications

References 5 publications

Identification and control of an isolated, but intense focus of lymphatic filariasis on Satawal Island, Federated States of Micronesia, in 2003

Identification and control of an isolated, but intense focus of lymphatic filariasis on Satawal Island, Federated States of Micronesia, in 2003

Greater Adherence to Mass Drug AdministrationAgainst Lymphatic Filariasis through TraditionalVillage Forums in Fiji

"Prevalence of Lymphatic Filariasis in North and South Zones of Bangladesh"

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