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Potential factors influencing lymphatic filariasis transmission in"hotspot"and"control"areas in Ghana:the importance of vectors

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Infectious Diseases of Poverty 2019年第1期8卷 45-55页

作者： Sellase Pi-Bansa Joseph Harold Nyarko Osei kwadwo kyeremeh frempong Elizabeth Elhassan Osei Kweku Akuoko David Agyemang Collins Ahorlu Maxwell Alexander Appawu Benjamin Guibehi Koudou Michael David Wilson Dziedzom Komi de Souza Samuel Kweku Dadzie Jurg Utzinger Daniel Adjei Boakye Swiss Tropical and Public Health Institute BaselSwitzerland University of Basel BaselSwitzerland Noguchi Memorial Institute for Medical Research College of Health SciencesUniversity of GhanaLegonGhana Department of Animal Biology and Conservation Science University of GhanaLegonGhana SightSavers International Ghana OfficeAccraGhana African Regional Postgraduate Programme in Insect Science University of GhanaLegonGhana Vector Biology Department Liverpool School of Tropical MedicineLiverpoolUK Centre Suisse de Recherches Scientifiques en Cote d'Ivoire AbidjanCote d'Ivoire

Background:Mass drug administration(MDA)programmes for the control of lymphatic filariasis in Ghana,have been ongoing in some endemic districts for 16 *** current study aimed to assess factors that govern the success of MDA programmes for breaking transmission of lymphatic filariasis in ***:The study was undertaken in two"hotspot"districts(Ahanta West and Kassena Nankana West)and two control districts(Mpohor and Bongo)in *** were collected and identified using morphological and molecular tools.A proportion of the cibarial armatures of each species was *** were performed onAnopheles gambiae for filarial worm detection.A questionnaire was administered to obtain information on MDA compliance and vector control *** were compared between districts to determine factors that might explain persistent transmission of lymphatic ***:High numbers of mosquitoes were sampled in Ahanta West district compared to Mpohor district(F=16.09,P=0.002).There was no significant difference between the numbers of mosquitoes collected in Kassena Nankana West and Bongo districts(F=2.16,P=0.185).Mansonia species were predominant in Ahanta West *** mosquitoes were prevalent in all *** with infected and infective filarial worms was found only in Ahanta West *** differences were found in cibarial teeth numbers and shape for mosquito species in the surveyed *** MDA coverage was high in all *** average use of bednet and indoor residual spraying was 82.4 and 66.2%,*** was high compliance in the five preceding MDA rounds in Ahanta West and Kassena Nankana West districts,both considered hotspots of lymphatic filariasis ***:The study on persistent transmission of lymphatic filariasis in the two areas in Ghana present information that shows the importance of local understanding of factors affecting control and elimination of lymphatic

关键词： Ghana Hotspots Lymphatic filariasis Mass drug administration Microfilariae Systematic non-compliance Vector control

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