Evidence map›Paper›PMID 41419468›Full record

ArticleNature communications2025

Reaching elimination of onchocerciasis transmission with long-term vector control and ivermectin treatment in Togo.

Luís-Jorge Amaral, Rachel N Bronzan, Anders Seim, Marie-Denise Milord, Koffi Padjoudoum, Ibrahim Gado Telou, Sibabe Agoro, Michel Datagni, Piham Gnossike, Jonathan I D Hamley and 2 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Spatial and seasonal dynamics ofParasite epidemiology and control · 2026
    Article
  3. Article
  4. 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

12 authors.

Luís-Jorge AmaralMRC Centre for Global Infectious Disease Analysis, Department of Infectious Disease Epidemiology, School of Public Health, Imperial College London, London, UK. luis.amaral20@imperial.ac.uk.
Rachel N BronzanHealth & Development International, Newburyport, MA, USA.ORCID http://orcid.org/0000-0002-8453-2498
Anders SeimHealth & Development International, Fjellstrand, Norway.ORCID http://orcid.org/0000-0001-7252-8486
Marie-Denise MilordHealth & Development International, Newburyport, MA, USA.
Koffi PadjoudoumNational Onchocerciasis Control Program, Kara, Togo.
Ibrahim Gado TelouMinistère de la Santé et de l'Hygiène Publique, Lomé, Togo.
Sibabe AgoroMinistère de la Santé et de l'Hygiène Publique, Lomé, Togo.
Michel DatagniHealth and Development International, Lomé, Togo.
Piham GnossikeNeglected Tropical Diseases Coordinator, Ministère de la Santé et de l'Hygiène Publique, Lomé, Togo.
Jonathan I D HamleyMRC Centre for Global Infectious Disease Analysis, Department of Infectious Disease Epidemiology, School of Public Health, Imperial College London, London, UK.ORCID http://orcid.org/0000-0001-5755-2867
Martin WalkerMRC Centre for Global Infectious Disease Analysis, Department of Infectious Disease Epidemiology, School of Public Health, Imperial College London, London, UK.ORCID http://orcid.org/0000-0001-8714-5365
María-Gloria BasáñezMRC Centre for Global Infectious Disease Analysis, Department of Infectious Disease Epidemiology, School of Public Health, Imperial College London, London, UK. m.basanez@imperial.ac.uk.ORCID http://orcid.org/0000-0001-5031-3361

Funding

Gates Foundation INV-030046
6 · The paper itself

Abstract

The Onchocerciasis Control Programme in West Africa implemented vector control (VC) and ivermectin mass drug administration (MDA) to eliminate blindness, intensifying efforts in Special Intervention Zones (SIZ). Togo aims to eliminate onchocerciasis transmission (EOT) by 2030. We use the EPIONCHO-IBM model to project microfilarial prevalence trends across Togo's five regions by SIZ status, MDA coverage (65%-80%) and VC efficacy (60%-100%). We compare projections with prevalence surveys (400 villages, 1970-2017) stratified by hypoendemic, mesoendemic, hyperendemic, and holoendemic baseline endemicity, and calculate EOT probabilities for 2024, 2027, and 2030. Combined VC and MDA reduced prevalence nationwide. After cessation of VC, prevalence continued to decline in hypo-to-mesoendemic areas under annual MDA, while hyperendemic areas required biannual MDA. In holoendemic areas, prevalence rebounded even with biannual MDA, indicating that alternative strategies are needed. EPIONCHO-IBM reproduces Togo's onchocerciasis trends throughout five decades of intervention and provides a transferable framework to guide policy towards 2030 goals.

Indexed as

IvermectinOnchocerciasisAnimalsDisease EradicationHumansInsect VectorsMass Drug AdministrationPrevalenceTogoIvermectin

Identifiers

PMID41419468
PMCPMC12823694

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.