Evidence map›Paper›PMID 36068517›Full record

ArticleBMC medicine2022

The prevalence of onchocerciasis in Africa and Yemen, 2000-2018: a geospatial analysis.

Chris A Schmidt, Elizabeth A Cromwell, Elex Hill, Katie M Donkers, Megan F Schipp, Kimberly B Johnson, David M Pigott, LBD 2019 Neglected Tropical Diseases Collaborators, Simon I Hay

Abstract read
In one paragraph

Article in BMC medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
–field-weighted citation impact
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

33 citing papers in PubMed.

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  7. Anti-onchocerca activity, toxicity and induced biochemical changes ofJournal of parasitic diseases : official organ of the Indian Society for Parasitology · 2025
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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

9 authors.

Chris A SchmidtInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, 98121, USA. casch@uw.edu.
Elizabeth A CromwellInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, 98121, USA.
Elex HillInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, 98121, USA.
Katie M DonkersInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, 98121, USA.
Megan F SchippInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, 98121, USA.
Kimberly B JohnsonInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, 98121, USA.
David M PigottInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, 98121, USA.
LBD 2019 Neglected Tropical Diseases Collaborators
Simon I HayInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, 98121, USA.

Funding

Wellcome Trust
6 · The paper itself

Abstract

backgroundOnchocerciasis is a disease caused by infection with Onchocerca volvulus, which is transmitted to humans via the bite of several species of black fly, and is responsible for permanent blindness or vision loss, as well as severe skin disease. Predominantly endemic in parts of Africa and Yemen, preventive chemotherapy with mass drug administration of ivermectin is the primary intervention recommended for the elimination of its transmission.

methodsA dataset of 18,116 geo-referenced prevalence survey datapoints was used to model annual 2000-2018 infection prevalence in Africa and Yemen. Using Bayesian model-based geostatistics, we generated spatially continuous estimates of all-age 2000-2018 onchocerciasis infection prevalence at the 5 × 5-km resolution as well as aggregations to the national level, along with corresponding estimates of the uncertainty in these predictions.

resultsAs of 2018, the prevalence of onchocerciasis infection continues to be concentrated across central and western Africa, with the highest mean estimates at the national level in Ghana (12.2%, 95% uncertainty interval [UI] 5.0-22.7). Mean estimates exceed 5% infection prevalence at the national level for Cameroon, Central African Republic, Democratic Republic of the Congo (DRC), Guinea-Bissau, Sierra Leone, and South Sudan.

conclusionsOur analysis suggests that onchocerciasis infection has declined over the last two decades throughout western and central Africa. Focal areas of Angola, Cameroon, the Democratic Republic of the Congo, Ethiopia, Ghana, Guinea, Mali, Nigeria, South Sudan, and Uganda continue to have mean microfiladermia prevalence estimates exceeding 25%. At and above this level, the continuation or initiation of mass drug administration with ivermectin is supported. If national programs aim to eliminate onchocerciasis infection, additional surveillance or supervision of areas of predicted high prevalence would be warranted to ensure sufficiently high coverage of program interventions.

Indexed as

OnchocerciasisBayes TheoremGhanaHumansIvermectinNigeriaPrevalenceYemenIvermectinGeospatial modelNeglected tropical diseasesOnchocerciasis

Identifiers

PMID36068517
PMCPMC9449300

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Registered trials

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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.