Epidemiological assessment of continuing transmission of lymphatic filariasis in Samoa.

H Joseph, F Maiava, T Naseri, U Silva, P Lammie, W Melrose
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引用次数: 0

Abstract

Ongoing transmission of lymphatic filariasis (LF) was assessed in five Samoan villages by measuring microfilaraemia (Mf), circulating filarial antigen (CFA) and antibody prevalence. Compared to the other villages, Fasitoo-Tai had a significantly higher Mf prevalence (3·2%), CFA prevalence (14·6%) and antibody prevalence in children (62·0%) (P<0·05). Puapua had a significantly lower CFA prevalence (2·5%), no detectable Mf-positive individuals and significantly low antibody prevalence in children (7·9%) (P<0·05). Siufaga, previously believed to be LF-free, recorded >1% CFA prevalence and a high antibody prevalence in children (46·6%). Overall, antibody prevalence in children appeared to reflect the transmission dynamics in the villages and, in Siufaga, identified an area of ongoing transmission. The Filariasis Cellabs Enzyme-Linked Immunosorbent Assay (CELISA), based on recombinant antigen Bm14, to detect antibodies, could potentially be a promising diagnostic tool for inclusion in future surveillance in the South Pacific.

萨摩亚淋巴丝虫病持续传播的流行病学评估。
通过测量微丝蚴血症(Mf)、循环丝虫抗原(CFA)和抗体流行率,评估了淋巴丝虫病(LF)在五个萨摩亚村庄的持续传播情况。与其他村庄相比,Fasitoo-Tai 村的微丝蚴血症流行率(3-2%)、循环丝虫抗原流行率(14-6%)和儿童抗体流行率(62-0%)明显较高(P1%的循环丝虫抗原流行率和较高的儿童抗体流行率(46-6%))。总体而言,儿童抗体流行率似乎反映了村庄的传播动态,并在 Siufaga 确定了一个持续传播的地区。丝虫病细胞酶联免疫吸附试验(CELISA)以重组抗原 Bm14 为基础检测抗体,有可能成为南太平洋未来监测的一种有前途的诊断工具。
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来源期刊
Annals of tropical medicine and parasitology
Annals of tropical medicine and parasitology 医学-公共卫生、环境卫生与职业卫生
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