Evidence map›Paper›PMID 32299374›Full record

ArticleBMC infectious diseases2020

Mapping lymphatic filariasis in Loa loa endemic health districts naïve for ivermectin mass administration and situated in the forested zone of Cameroon.

Andrew A Beng, Mathias E Esum, Kebede Deribe, Abdel J Njouendou, Patrick W C Ndongmo, Raphael A Abong, Jerome Fru, Fanny F Fombad, Gordon T Nchanji, Glory Amambo and 10 more

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.2field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Advances in preclinical platforms ofFrontiers in tropical diseases · 2021
    Article
  6. Review
  7. Sustainable Surveillance of Neglected Tropical Diseases for the Post-Elimination Era.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 6 institutions in 3 countries.

Andrew A BengDepartment of Microbiology and Parasitology, Parasites and Vector Biology Research Unit (PAVBRU), University of Buea, Buea, Cameroon.
Mathias E EsumDepartment of Microbiology and Parasitology, Parasites and Vector Biology Research Unit (PAVBRU), University of Buea, Buea, Cameroon.
Kebede DeribeCentre for Global Health Research, Brighton and Sussex Medical School, Brighton, BN1 9PS, UK. kebededeka@yahoo.com.
Abdel J NjouendouDepartment of Microbiology and Parasitology, Parasites and Vector Biology Research Unit (PAVBRU), University of Buea, Buea, Cameroon.
Patrick W C NdongmoDepartment of Microbiology and Parasitology, Parasites and Vector Biology Research Unit (PAVBRU), University of Buea, Buea, Cameroon.
Raphael A AbongDepartment of Microbiology and Parasitology, Parasites and Vector Biology Research Unit (PAVBRU), University of Buea, Buea, Cameroon.
Jerome FruDepartment of Microbiology and Parasitology, Parasites and Vector Biology Research Unit (PAVBRU), University of Buea, Buea, Cameroon.
Fanny F FombadDepartment of Microbiology and Parasitology, Parasites and Vector Biology Research Unit (PAVBRU), University of Buea, Buea, Cameroon.
Gordon T NchanjiDepartment of Microbiology and Parasitology, Parasites and Vector Biology Research Unit (PAVBRU), University of Buea, Buea, Cameroon.
Glory AmamboDepartment of Microbiology and Parasitology, Parasites and Vector Biology Research Unit (PAVBRU), University of Buea, Buea, Cameroon.
Narcisse T V GandjuiDepartment of Microbiology and Parasitology, Parasites and Vector Biology Research Unit (PAVBRU), University of Buea, Buea, Cameroon.
Benjamin BiholongMinistry of Public Health, Yaoundé, Cameroon.
Georges Nko'AyissiMinistry of Public Health, Yaoundé, Cameroon.
Patrick MbiaHelen Keller International, Yaoundé, Cameroon.
Julie AkameHelen Keller International, Yaoundé, Cameroon.
Peter I EnyongDepartment of Microbiology and Parasitology, Parasites and Vector Biology Research Unit (PAVBRU), University of Buea, Buea, Cameroon.
Steven D ReidHelen Keller International, New York, NY, USA.
Jean J TougoueRTI International, Washington, DC, USA.
Yaobi ZhangHelen Keller International, New York, NY, USA.
Samuel WanjiDepartment of Microbiology and Parasitology, Parasites and Vector Biology Research Unit (PAVBRU), University of Buea, Buea, Cameroon.
University of Buea · CMHelen Keller International · USHelen Keller International · CMMinistry of Public Health · CMBrighton and Sussex Medical School · GBRTI International · US

Funding

USAID AID-OAA-A-11-00048Wellcome TrustWellcome Trust 201900/Z/16/Z
6 · The paper itself

Abstract

backgroundThe control of lymphatic filariasis (LF) caused by Wuchereria bancrofti in the Central African Region has been hampered by the presence of Loa loa due to severe adverse events that arise in the treatment with ivermectin. The immunochromatographic test (ICT) cards used for mapping LF demonstrated cross-reactivity with L. loa and posed the problem of delineating the LF map. To verify LF endemicity in forest areas of Cameroon where mass drug administration (MDA) has not been ongoing, we used the recently developed strategy that combined serology, microscopy and molecular techniques.

methodsThis study was carried out in 124 communities in 31 health districts (HDs) where L. loa is present. At least 125 persons per site were screened. Diurnal blood samples were investigated for circulating filarial antigen (CFA) by FTS and for L. loa microfilariae (mf) using TBF. FTS positive individuals were further subjected to night blood collection for detecting W. bancrofti. qPCR was used to detect DNA of the parasites.

resultsOverall, 14,446 individuals took part in this study, 233 participants tested positive with FTS in 29 HDs, with positivity rates ranging from 0.0 to 8.2%. No W. bancrofti mf was found in the night blood of any individuals but L. loa mf were found in both day and night blood of participants who were FTS positive. Also, qPCR revealed that no W. bancrofti but L.loa DNA was found with dry bloodspot. Positive FTS results were strongly associated with high L. loa mf load. Similarly, a strong positive association was observed between FTS positivity and L loa prevalence.

conclusionsUsing a combination of parasitological and molecular tools, we were unable to find evidence of W. bancrofti presence in the 31 HDs, but L. loa instead. Therefore, LF is not endemic and LF MDA is not required in these districts.

Indexed as

AdolescentAdultAnimalsAntigens, HelminthCameroonCross ReactionsCross-Sectional StudiesElephantiasis, FilarialFemaleForestsHumansImmunoassayIvermectinLoaMaleMass Drug AdministrationAntigens, HelminthIvermectinForested zoneFTS testIvermectinLoa loaqPCRWuchereria bancrofti

Identifiers

PMID32299374
PMCPMC7164349
OpenAlexW3017303146

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.