Community-based trial assessing the impact of annual versus semiannual mass drug administration with ivermectin plus albendazole and praziquantel on helminth infections in northwestern Liberia Article Swipe
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· 2022
· Open Access
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· DOI: https://doi.org/10.1016/j.actatropica.2022.106437
We assessed the impact of three annual vs five semiannual rounds of mass drug administration (MDA) with ivermectin plus albendazole followed by praziquantel for the control or elimination of lymphatic filariasis (LF), onchocerciasis, soil-transmitted helminth (STH) infections and schistosomiasis in Lofa County, Liberia. The study started in 2012 and was interrupted in 2014 during the Ebola virus outbreak. Repeated cross-sectional surveys were conducted in individuals 5 years and older to measure infection markers. Wuchereria bancrofti antigenemia prevalences decreased from 12.5 to 1.2% (90% reduction) and from 13.6 to 4.2% (69% reduction) one year after three rounds of annual or five rounds of semiannual MDA, respectively. Mixed effects logistic regression models showed decreases in odds of antigenemia positivity were 91 and 74% at that time in the annual and semiannual treatment zones, respectively (p < 0.001). Semiannual MDA was slightly more effective for reducing Onchocerca volvulus microfiladermia prevalence and at follow-up 3 were 74% (from 14.4 to 3.7%) and 83% (from 23.6 to 4.5%) in the annual and semiannual treatment zones, respectively. Both treatment schedules had similar beneficial effects on hookworm prevalence. Thus, annual and semiannual MDA with ivermectin and albendazole had similar beneficial impacts on LF, onchocerciasis, and STH in this setting. In contrast, MDA with praziquantel had little impact on hyperendemic Schistosoma mansoni in the study area. Results from a long-term follow-up survey showed that improvements in infection parameters were sustained by routine annual MDA provided by the Liberian Ministry of Health after our study endpoint.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1016/j.actatropica.2022.106437
- OA Status
- hybrid
- Cited By
- 11
- References
- 47
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4223580425
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4223580425Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1016/j.actatropica.2022.106437Digital Object Identifier
- Title
-
Community-based trial assessing the impact of annual versus semiannual mass drug administration with ivermectin plus albendazole and praziquantel on helminth infections in northwestern LiberiaWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-04-08Full publication date if available
- Authors
-
Obiora A. Eneanya, Lincoln Gankpala, Charles W. Goss, Aaron T. Momolu, Enoch S. Nyan, Emmanuel B. Gray, Kerstin Fischer, Kurt C. Curtis, Fatorma K. Bolay, Gary J. Weil, Peter FischerList of authors in order
- Landing page
-
https://doi.org/10.1016/j.actatropica.2022.106437Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.1016/j.actatropica.2022.106437Direct OA link when available
- Concepts
-
Ivermectin, Albendazole, Praziquantel, Mass drug administration, Lymphatic filariasis, Onchocerca volvulus, Medicine, Helminthiasis, Onchocerciasis, Wuchereria bancrofti, Anthelmintic, Internal medicine, Schistosomiasis, Environmental health, Veterinary medicine, Immunology, Filariasis, Helminths, Surgery, PopulationTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
11Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 4, 2024: 5, 2023: 2Per-year citation counts (last 5 years)
- References (count)
-
47Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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