Evidence map›Paper›PMID 39038058›Full record

ArticlePLoS neglected tropical diseases2024

Impact of ivermectin and vector control on onchocerciasis transmission in Togo: Assessing the empirical evidence on trends in infection and entomological indicators.

Natalie V S Vinkeles Melchers, Sibabi Agoro, Kwamy Togbey, Koffi Padjoudoum, Ibrahim Gado Telou, Potchoziou Karabou, Touka Djatho, Michel Datagni, Ameyo Monique Dorkenoo, Yao Kassankogno and 2 more

Abstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
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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

12 authors.

Natalie V S Vinkeles MelchersHealth & Society Group, Department of Social Sciences, Wageningen University & Research, Hollandseweg 1, Wageningen, The Netherlands.ORCID 0000-0002-1494-3101
Sibabi AgoroNational Institute of Hygiene, Ministry of Health, Public Hygiene and Universal Access to Care, Lomé, Togo.
Kwamy TogbeyNational Institute of Hygiene, Ministry of Health, Public Hygiene and Universal Access to Care, Lomé, Togo.
Koffi PadjoudoumNational Institute of Hygiene, Ministry of Health, Public Hygiene and Universal Access to Care, Lomé, Togo.
Ibrahim Gado TelouNational Institute of Hygiene, Ministry of Health, Public Hygiene and Universal Access to Care, Lomé, Togo.
Potchoziou KarabouNational Institute of Hygiene, Ministry of Health, Public Hygiene and Universal Access to Care, Lomé, Togo.
Touka DjathoNational Institute of Hygiene, Ministry of Health, Public Hygiene and Universal Access to Care, Lomé, Togo.
Michel DatagniNational Institute of Hygiene, Ministry of Health, Public Hygiene and Universal Access to Care, Lomé, Togo.
Ameyo Monique DorkenooFaculté Des Sciences de La Santé, Université de Lomé, Boulevard Eyadema, Lomé, Togo.
Yao KassankognoHealth and Development International (HDI), Lomé, Togo.
Rachel BronzanBill & Melinda Gates Foundation, Seattle, Washington, United States of America.
Wilma A StolkDepartment of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.

Funding

Bill & Melinda Gates Foundation OPP1184344
6 · The paper itself

Abstract

backgroundThe World Health Organization's 2021-2030 Road Map for Neglected Tropical Diseases boosted global commitment towards the elimination of onchocerciasis, but the timeline to elimination will vary strongly between countries in Africa. To assess progress towards elimination in the Republic of Togo, we reviewed the history of control and time trends in infection. METHODOLOGY/PRINCIPAL

findingsWe collated all available programmatic, entomological, and epidemiological data since the initiation of the Onchocerciasis Control Programme (OCP) in Togo through different data sources. We then visualised data trends over time, to assess the impact of interventions on infection and transmission levels. Vector control was initiated by OCP from 1977 (northern and central parts of Togo) or 1988 (southern regions) up to 2002 (most areas) or 2007 ("special intervention zones" [SIZ], parts of Northern and Central Togo). Between 1988 and 1991, Togo initiated ivermectin mass drug administration (MDA) in eligible communities. The impact of vector control was high in most river basins, resulting in low annual biting rates and annual transmission potential declining to very low levels; the impact was lower in river basins designated as SIZ. Repeated, longitudinal ivermectin mass treatments have overall strongly reduced onchocerciasis transmission in Togo. Epidemiological surveys performed between 2014 and 2017 showed that the prevalence of skin microfilariae (mf) and anti-OV16 IgG4 antibodies had declined to low levels in several districts of the Centrale, Plateaux, and Maritime region. Yet, relatively high mf prevalences (between 5.0% and 32.7%) were still found in other districts during the same period, particularly along the Kéran, Mô and Ôti river basins (SIZ areas). CONCLUSIONS/SIGNIFICANCE: Trends in infection prevalence and intensity show that onchocerciasis levels have dropped greatly over time in most areas. This demonstrates the large impact of long-term and wide-scale interventions, and suggest that several districts of Togo are approaching elimination.

Indexed as

IvermectinOnchocerciasisAnimalsFemaleHumansInsect ControlInsect VectorsMass Drug AdministrationOnchocerca volvulusTogoIvermectin

Identifiers

PMID39038058
PMCPMC11293710

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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.