Evidence map›Paper›PMID 39110770›Full record

ArticlePLoS neglected tropical diseases2024

Could a ring treatment approach be proposed to control Taenia solium transmission in a post elimination setting? A pilot study in Zambia.

Chiara Trevisan, Kabemba E Mwape, Inge Van Damme, Ganna Saelens, Chishimba Mubanga, Mwelwa Chembensofu, Maxwell Masuku, Seth O'Neal, Gideon Zulu, Pierre Dorny and 1 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

11 authors.

Chiara TrevisanDepartment of Public Health, Institute of Tropical Medicine, Antwerp, Belgium.ORCID 0000-0002-4920-6750
Kabemba E MwapeDepartment of Clinical Studies, School of Veterinary Medicine, University of Zambia, Lusaka, Zambia.
Inge Van DammeLaboratory of Foodborne Parasitic Zoonoses, Ghent University, Merelbeke, Belgium.
Ganna SaelensLaboratory of Foodborne Parasitic Zoonoses, Ghent University, Merelbeke, Belgium.
Chishimba MubangaMinistry of Agriculture, Shibuyunji, Zambia.
Mwelwa ChembensofuDepartment of Paraclinical Studies, School of Veterinary Medicine, University of Zambia, Lusaka, Zambia.
Maxwell MasukuDepartment of Clinical Studies, School of Veterinary Medicine, University of Zambia, Lusaka, Zambia.
Seth O'NealSchool of Public Health, Oregon Health & Science University and Portland State University, Portland, Oregon, United States of America.
Gideon ZuluMinistry of Health, Lusaka, Zambia.
Pierre DornyDepartment of Biomedical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.
Sarah GabriëlLaboratory of Foodborne Parasitic Zoonoses, Ghent University, Merelbeke, Belgium.

Funding

Optimizing ring screening strategy for control of Taenia solium infectionR01NS080645 · NINDS · OREGON HEALTH & SCIENCE UNIVERSITY · PI BUSTOS, JAVIER A, O'NEAL, SETH E · 2014 to 2023
$5.3M
Institute of Tropical Medicine, Antwerp
6 · The paper itself

Abstract

backgroundGeographically targeted Taenia solium ring approaches consisting of treating individuals within a radius of 100-meter of a cysticercosis positive pig have been trialled in Peru. This study explored if a similar approach could be proposed to control T. solium transmission in a post elimination setting in Zambia, focussing on community members' willingness to be sampled and treated. METHODOLOGY AND PRINCIPAL

findingsThe study was conducted in a community where elimination of active T. solium transmission was achieved. All eligible pigs and people were sampled, at 4- to 6-monthly intervals, followed by implementation of the ring treatment approach. This implied that whenever a pig was seropositive for cysticercosis during sampling, every human and pig residing in a radius of 50-meters of the seropositive pig would be treated. The results of the positive human stool samples were used to create the rings, whenever no pigs were positive. From June 2018 to October 2019, four samplings, followed by ring treatments were conducted. Between 84% and 91% of the willing people provided a stool sample, covering 46% to 59% of the total population living in the study area. Between 78% and 100% of the eligible pigs got sampled. Three ring treatments were based on porcine seropositivity and one on taeniosis results. Two to four rings were opened per sampling. During the ring treatments, between 89% and 100% of the eligible human and pig population living within a ring was treated.

conclusionsParticipants were willing to participate and get treatment, once the rings were opened. However, the utility of ring treatment approaches in a post elimination setting needs further evaluation, given the lack of highly accurate diagnostic tools for porcine cysticercosis and the challenges in obtaining stool samples. The ring treatment approach adopted should be further improved before recommendations to public health authorities can be given.

Indexed as

CysticercosisFecesSwine DiseasesTaenia soliumAdolescentAdultAnimalsAnthelminticsChildDisease EradicationFemaleHumansMaleMiddle AgedPilot ProjectsSwineAnthelmintics

Identifiers

PMID39110770
PMCPMC11346962

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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.