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Transmission of Onchocerca volvulus by Simulium neavei in Mount Elgon focus of Eastern Uganda has been interrupted.

Abstract
The study determined that Simulium neavei-transmitted onchocerciasis in Mount Elgon onchocerciasis focus had been interrupted. Annual mass treatment with ivermectin changed to two times per year along with vector elimination in 2007. Then, baseline microfilaria (mf) prevalence data of 1994 in five sentinel communities were compared with follow-up data in 2005 and 2011. Blood spots from 3,051 children obtained in 2009 were analyzed for Onchocerca volvulus immunoglobulin G4 antibodies. Fresh water crab host captures and blackflies collected indicated their infestation with larval stages of S. neavei and presence or absence of the vector, respectively. Mf rates dropped from 62.2% to 0.5%, and 1 (0.03%) of 3,051 children was positive for O. volvulus antibodies. Crab infestation dropped from 41.9% in 2007 to 0%, and S. neavei biting reduced to zero. Both remained zero for the next 3 years, confirming interruption of onchocerciasis transmission, and interventions were halted.
AuthorsMoses Katabarwa, Tom Lakwo, Peace Habomugisha, Stella Agunyo, Edson Byamukama, David Oguttu, Richard Ndyomugyenyi, Ephraim Tukesiga, Galex Orukan Ochieng, Francis Abwaimo, Ambrose Onapa, Dennis W K Lwamafa, Frank Walsh, Thomas R Unnasch, Frank O Richards
JournalThe American journal of tropical medicine and hygiene (Am J Trop Med Hyg) Vol. 90 Issue 6 Pg. 1159-66 (Jun 2014) ISSN: 1476-1645 [Electronic] United States
PMID24686740 (Publication Type: Journal Article)
Copyright© The American Society of Tropical Medicine and Hygiene.
Chemical References
  • Antibodies, Helminth
  • Antiparasitic Agents
  • Ivermectin
Topics
  • Adolescent
  • Animals
  • Antibodies, Helminth (blood)
  • Antiparasitic Agents (therapeutic use)
  • Brachyura (parasitology)
  • Child
  • Child, Preschool
  • Humans
  • Infant
  • Insect Vectors (parasitology)
  • Ivermectin (therapeutic use)
  • Larva
  • Male
  • Microfilariae
  • Onchocerca volvulus (immunology, physiology)
  • Onchocerciasis (drug therapy, prevention & control, transmission)
  • Prevalence
  • Simuliidae (parasitology)
  • Uganda (epidemiology)

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