Evidence map›Paper›PMID 34727965›Full record

ArticleParasites & vectors2021

Onchocerca volvulus transmission in the Mbam valley of Cameroon following 16 years of annual community-directed treatment with ivermectin, and the description of a new cytotype of Simulium squamosum.

Adam Hendy, Meryam Krit, Kenneth Pfarr, Christine Laemmer, Jacobus De Witte, Philippe Nwane, Joseph Kamgno, Hugues C Nana-Djeunga, Michel Boussinesq, Jean-Claude Dujardin and 5 more

Open access · goldAbstract read
In one paragraph

Article in Parasites & vectors, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 20% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Spatial and seasonal dynamics ofParasite epidemiology and control · 2026
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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

15 authors at 7 institutions in 6 countries.

Adam HendyDepartment of Biomedical Sciences, Institute of Tropical Medicine, Antwerp, Belgium. adhendy@utmb.edu.ORCID http://orcid.org/0000-0001-8082-6352
Meryam KritDepartment of Biomedical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.
Kenneth PfarrInstitute for Medical Microbiology, Immunology and Parasitology, University Hospital Bonn, Bonn, Germany.
Christine LaemmerInstitute for Medical Microbiology, Immunology and Parasitology, University Hospital Bonn, Bonn, Germany.
Jacobus De WitteDepartment of Biomedical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.
Philippe NwaneCentre for Research on Filariasis and Other Tropical Diseases (CRFilMT), Yaoundé, Cameroon.
Joseph KamgnoCentre for Research on Filariasis and Other Tropical Diseases (CRFilMT), Yaoundé, Cameroon.
Hugues C Nana-DjeungaCentre for Research on Filariasis and Other Tropical Diseases (CRFilMT), Yaoundé, Cameroon.
Michel BoussinesqInstitut de Recherche pour le Développement (IRD), Montpellier, France.
Jean-Claude DujardinDepartment of Biomedical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.
Rory PostDepartment of Disease Control, London School of Hygiene and Tropical Medicine, London, UK.
Robert ColebundersGlobal Health Institute, University of Antwerp, Antwerp, Belgium.
Sarah O'NeillDepartment of Public Health, Institute of Tropical Medicine, Antwerp, Belgium.
Peter EnyongResearch Foundation in Tropical Diseases and Environment, Buea, Cameroon.
Alfred K NjamnshiNeuroscience Lab, Faculty of Medicine and Biomedical Sciences, The University of Yaoundé I, Yaoundé, Cameroon.ORCID http://orcid.org/0000-0003-0052-1511
Instituut voor Tropische Geneeskunde · BEUniversité de Yaoundé I · CMUniversity Hospital Bonn · DEInstitut de Recherche pour le Développement · FRLondon School of Hygiene & Tropical Medicine · GBThe University of Texas Medical Branch at Galveston · USUniversity of Antwerp · BE

Funding

Departement Economie, Wetenschap en Innovatie 2014 SOFI 12Deutsches Zentrum für Infektionsforschung TI 03.907H2020 European Research Council 671055
6 · The paper itself

Abstract

backgroundThe onchocerciasis focus surrounding the lower Mbam and Sanaga rivers, where Onchocerca volvulus is transmitted by Simulium damnosum s.l. (Diptera: Simuliidae), was historically the largest in the southern regions of Cameroon. Annual community-directed treatment with ivermectin (CDTI) has been taking place since 2000, but recent studies have shown that new infections are occurring in children. We aimed to investigate blackfly biting and O. volvulus transmission rates along the lower Mbam river 16 years after the formal onset of annual CDTI.

methodsBlack flies were collected for three consecutive days each month between July 2016 and June 2017 at two riverside villages and two inland sites situated 4.9 km and 7.9 km from the riverside. Specimens collected at each site were dissected on one of the three collection days each month to estimate parity rates and O. volvulus infection rates, while the remaining samples were preserved for pool screening.

resultsIn total, 93,573 S. damnosum s.l. black flies were recorded biting humans and 9281 were dissected. Annual biting rates of up to 606,370 were estimated at the riverside, decreasing to 20,540 at 7.9 km, while, based on dissections, annual transmission potentials of up to 4488 were estimated at the riverside, decreasing to 102 and 0 at 4.9 km and 7.9 km, respectively. However, pool screening showed evidence of infection in black flies at the furthest distance from the river. Results of both methods demonstrated the percentage of infective flies to be relatively low (0.10-0.36%), but above the WHO threshold for interruption of transmission. In addition, a small number of larvae collected during the dry season revealed the presence of Simulium squamosum E. This is the first time S. squamosum E has been found east of Lake Volta in Ghana, but our material was chromosomally distinctive, and we call it S. squamosum E2.

conclusionsRelatively low O. volvulus infection rates appear to be offset by extremely high densities of biting black flies which are sustaining transmission along the banks of the lower Mbam river.

Indexed as

AnimalsCameroonFemaleHumansInsect ControlInsecticidesInsect VectorsIvermectinMaleOnchocerca volvulusOnchocerciasisRural HealthSeasonsSimuliidaeInsecticidesIvermectinCameroonEliminationIvermectinMbamOnchocerca volvulusOnchocerciasisSimulium damnosumSimulium squamosum

Identifiers

PMID34727965
PMCPMC8561987
OpenAlexW3208110847

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.