An integrated active case detection and management of skin NTDs in yaws endemic health districts in Cameroon, Côte d'Ivoire and Ghana.
<h4>Background</h4>Integrated approaches to mapping skin Neglected Tropical Diseases (NTDs) may be cost-effective way to guide decisions on resource mobilization. Pilot studies have been carried out, but large-scale data covering multiple countries endemic for skin NTDs are lacking. With...
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Public Library of Science (PLoS)
2024-10-01
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| Series: | PLoS Neglected Tropical Diseases |
| Online Access: | https://doi.org/10.1371/journal.pntd.0011790 |
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| author | Serges Tchatchouang Laud A Basing Hugues Kouadio-Aboh Becca L Handley Camila G-Beiras Ivy Amanor Philippe Ndzomo Mohammed Bakheit Lisa Becherer Sascha Knauf Claudia Müller Earnest Njih-Tabah Theophilus Njamnshi Tania Crucitti Nadine Borst Simone Lüert Sieghard Frischmann Helena Gmoser Emelie Landmann Aboubacar Sylla Mireille S Kouamé-Sina Daniel Arhinful Patrick Awondo Gely Menguena Emma-Michèle Harding-Esch Adingra Tano Mamadou Kaloga Paul Koffi-Aboa Nana Konama-Kotey Oriol Mitjà Sara Eyangoh Kennedy Kwasi-Addo Solange Ngazoa-Kakou Michael Marks |
| author_facet | Serges Tchatchouang Laud A Basing Hugues Kouadio-Aboh Becca L Handley Camila G-Beiras Ivy Amanor Philippe Ndzomo Mohammed Bakheit Lisa Becherer Sascha Knauf Claudia Müller Earnest Njih-Tabah Theophilus Njamnshi Tania Crucitti Nadine Borst Simone Lüert Sieghard Frischmann Helena Gmoser Emelie Landmann Aboubacar Sylla Mireille S Kouamé-Sina Daniel Arhinful Patrick Awondo Gely Menguena Emma-Michèle Harding-Esch Adingra Tano Mamadou Kaloga Paul Koffi-Aboa Nana Konama-Kotey Oriol Mitjà Sara Eyangoh Kennedy Kwasi-Addo Solange Ngazoa-Kakou Michael Marks |
| author_sort | Serges Tchatchouang |
| collection | DOAJ |
| description | <h4>Background</h4>Integrated approaches to mapping skin Neglected Tropical Diseases (NTDs) may be cost-effective way to guide decisions on resource mobilization. Pilot studies have been carried out, but large-scale data covering multiple countries endemic for skin NTDs are lacking. Within the LAMP4YAWS project, we collected integrated data on the burden of multiple skin NTDs.<h4>Methods</h4>From March 2021 to March 2023, integrated case searches for yaws alongside other skin conditions were performed in endemic health districts of yaws in Cameroon, Côte d'Ivoire, and Ghana. Integrated activities included training, social mobilization and active case detection. Initial screening involved a brief clinical examination of participants to determine if any skin conditions were suspected. Cases of skin NTDs were then referred to a health facility for appropriate management.<h4>Results</h4>Overall 61,080 individuals screened, 11,387 (18.6%) had skin lesions. The majority of individuals (>90%) examined were children aged 15 years old and under. The proportion of serologically confirmed yaws cases was 8.6% (18/210) in Cameroon, 6.8% (84/1232) in Côte d'Ivoire, and 26.8% (440/1643) in Ghana. Other skin conditions based on clinical examination included: scabies, Buruli ulcer, leprosy, lymphatic filariasis (lymphoedema and hydrocele), tungiasis, and fungal infections. The most common conditions were scabies and superficial fungal infections. In Cameroon, scabies and superficial fungal infections accounted for 5.1% (214/4204) and 88.7% (3730/4204) respectively, 25.2% (1285/5095) and 50.4% (2567/5095) in Côte d'Ivoire. In Ghana, 20% (419/2090) of individuals had scabies but superficial fungal infections were not routinely recorded and were reported in only 1.3% (28/2090). Other skin NTDs were less common across all three countries.<h4>Conclusion</h4>This study confirms that integrated screening allows simultaneous detection of multiple skin NTDs, maximising use of scarce resources. |
| format | Article |
| id | doaj-art-ed3099684d3143e4a1d51abf65e35cea |
| institution | DOAJ |
| issn | 1935-2727 1935-2735 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS Neglected Tropical Diseases |
| spelling | doaj-art-ed3099684d3143e4a1d51abf65e35cea2025-08-20T03:05:50ZengPublic Library of Science (PLoS)PLoS Neglected Tropical Diseases1935-27271935-27352024-10-011810e001179010.1371/journal.pntd.0011790An integrated active case detection and management of skin NTDs in yaws endemic health districts in Cameroon, Côte d'Ivoire and Ghana.Serges TchatchouangLaud A BasingHugues Kouadio-AbohBecca L HandleyCamila G-BeirasIvy AmanorPhilippe NdzomoMohammed BakheitLisa BechererSascha KnaufClaudia MüllerEarnest Njih-TabahTheophilus NjamnshiTania CrucittiNadine BorstSimone LüertSieghard FrischmannHelena GmoserEmelie LandmannAboubacar SyllaMireille S Kouamé-SinaDaniel ArhinfulPatrick AwondoGely MenguenaEmma-Michèle Harding-EschAdingra TanoMamadou KalogaPaul Koffi-AboaNana Konama-KoteyOriol MitjàSara EyangohKennedy Kwasi-AddoSolange Ngazoa-KakouMichael Marks<h4>Background</h4>Integrated approaches to mapping skin Neglected Tropical Diseases (NTDs) may be cost-effective way to guide decisions on resource mobilization. Pilot studies have been carried out, but large-scale data covering multiple countries endemic for skin NTDs are lacking. Within the LAMP4YAWS project, we collected integrated data on the burden of multiple skin NTDs.<h4>Methods</h4>From March 2021 to March 2023, integrated case searches for yaws alongside other skin conditions were performed in endemic health districts of yaws in Cameroon, Côte d'Ivoire, and Ghana. Integrated activities included training, social mobilization and active case detection. Initial screening involved a brief clinical examination of participants to determine if any skin conditions were suspected. Cases of skin NTDs were then referred to a health facility for appropriate management.<h4>Results</h4>Overall 61,080 individuals screened, 11,387 (18.6%) had skin lesions. The majority of individuals (>90%) examined were children aged 15 years old and under. The proportion of serologically confirmed yaws cases was 8.6% (18/210) in Cameroon, 6.8% (84/1232) in Côte d'Ivoire, and 26.8% (440/1643) in Ghana. Other skin conditions based on clinical examination included: scabies, Buruli ulcer, leprosy, lymphatic filariasis (lymphoedema and hydrocele), tungiasis, and fungal infections. The most common conditions were scabies and superficial fungal infections. In Cameroon, scabies and superficial fungal infections accounted for 5.1% (214/4204) and 88.7% (3730/4204) respectively, 25.2% (1285/5095) and 50.4% (2567/5095) in Côte d'Ivoire. In Ghana, 20% (419/2090) of individuals had scabies but superficial fungal infections were not routinely recorded and were reported in only 1.3% (28/2090). Other skin NTDs were less common across all three countries.<h4>Conclusion</h4>This study confirms that integrated screening allows simultaneous detection of multiple skin NTDs, maximising use of scarce resources.https://doi.org/10.1371/journal.pntd.0011790 |
| spellingShingle | Serges Tchatchouang Laud A Basing Hugues Kouadio-Aboh Becca L Handley Camila G-Beiras Ivy Amanor Philippe Ndzomo Mohammed Bakheit Lisa Becherer Sascha Knauf Claudia Müller Earnest Njih-Tabah Theophilus Njamnshi Tania Crucitti Nadine Borst Simone Lüert Sieghard Frischmann Helena Gmoser Emelie Landmann Aboubacar Sylla Mireille S Kouamé-Sina Daniel Arhinful Patrick Awondo Gely Menguena Emma-Michèle Harding-Esch Adingra Tano Mamadou Kaloga Paul Koffi-Aboa Nana Konama-Kotey Oriol Mitjà Sara Eyangoh Kennedy Kwasi-Addo Solange Ngazoa-Kakou Michael Marks An integrated active case detection and management of skin NTDs in yaws endemic health districts in Cameroon, Côte d'Ivoire and Ghana. PLoS Neglected Tropical Diseases |
| title | An integrated active case detection and management of skin NTDs in yaws endemic health districts in Cameroon, Côte d'Ivoire and Ghana. |
| title_full | An integrated active case detection and management of skin NTDs in yaws endemic health districts in Cameroon, Côte d'Ivoire and Ghana. |
| title_fullStr | An integrated active case detection and management of skin NTDs in yaws endemic health districts in Cameroon, Côte d'Ivoire and Ghana. |
| title_full_unstemmed | An integrated active case detection and management of skin NTDs in yaws endemic health districts in Cameroon, Côte d'Ivoire and Ghana. |
| title_short | An integrated active case detection and management of skin NTDs in yaws endemic health districts in Cameroon, Côte d'Ivoire and Ghana. |
| title_sort | integrated active case detection and management of skin ntds in yaws endemic health districts in cameroon cote d ivoire and ghana |
| url | https://doi.org/10.1371/journal.pntd.0011790 |
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