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World Health Organization : Year 2001 ; The Special Programme for Research and Training in Tropical Diseases Ide Rp Rapl 01.1: Rapid Assessment Procedures for Loiasis

By Samuel Wanji

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Book Id: WPLBN0000193221
Format Type: PDF eBook
File Size: 0.4 MB
Reproduction Date: 2005
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Title: World Health Organization : Year 2001 ; The Special Programme for Research and Training in Tropical Diseases Ide Rp Rapl 01.1: Rapid Assessment Procedures for Loiasis  
Author: Samuel Wanji
Volume:
Language: English
Subject: Health., Public health, Wellness programs
Collections: Medical Library Collection, World Health Collection
Historic
Publication Date:
Publisher: World Health Organization

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Wanji, S. (n.d.). World Health Organization : Year 2001 ; The Special Programme for Research and Training in Tropical Diseases Ide Rp Rapl 01.1. Retrieved from http://self.gutenberg.org/


Description
Medical Reference Publication

Excerpt
EXECUTIVE SUMMARY Several cases of severe adverse reactions to ivermectin treatment have been reported from Cameroon in individuals with a high intensity of Loa loa infection. Concerns about possible severe adverse reactions have paralysed ivermectin treatment programmes for onchocerciasis in areas that are possibly co-endemic for Loa loa.There is an urgent need, therefore, for a simple rapid assessment tool of loiasis endemicity that can help identify communities where there is a high risk of severe adverse reactions. A multi-centre study supported by the UNDP/World Bank/WHO Special Programme for Research and Training in Tropical Diseases (TDR) and the African Programme for Onchocerciasis Control (APOC) was carried out in Cameroon and Nigeria to evaluate the use of specific clinical symptoms in rapid assessment of the endemicity of loiasis. Study communities were selected in areas presumed to be hypo-, meso- and hyperendemic for Loa loa from the Cross River State, south eastern Nigeria (28 communities), the South West and North West Provinces of Cameroon (42 communities) and the Eastern Province of Cameroon (32 communities).

Table of Contents
CONTENTS CONTENTS 1 EXECUTIVE SUMMARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 BACKGROUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 3 OBJECTIVES General Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Specific Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 4 METHODOLOGY Study Design . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Workshop to standardise methodology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Pre-testing of methodology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Community questionnaire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Individual questionnaire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Administration of questionnaires . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Parasitological Methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Slide reading and expression of results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 5 STUDY SITES Selection of villages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 South West Province of Cameroon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 North West Province of Cameroon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Eastern Province of Cameroon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Cross River State, Nigeria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

 

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