Rapid assessment of loiasis endemicity in northern Edo State, Nigeria
AbstractA rapid assessment of Loa loa prevalence (RAPLOA) in 19 communities of Akoko-Edo and Etsako East LGAs located in the northern part of Edo State, Nigeria was conducted to determine the endemicity of the disease and to classify the communities according to the level of risk to loiasis related adverse reactions. Local names for “eye worm” were in use in six communities of Akoko-Edo LGA while in Etsako-East LGA only three communities had local names for the condition. “Calabar swelling” was
a recognized entity in some of the villages surveyed. In the villages where the vector, Chrysops spp. could be recognized upon description, the local names for the flies was also provided. A total of 1514 persons were interviewed according to RAPLOA guidelines; 794 from Akoko Edo LGA and 720 from Etsako East LGA. The age of the respondents in Akoko-Edo ranged from 15- 95 years (mean, 40±19.9) while in Etsako East the respondents’ age ranged from 15 to 90 years (mean, 37.5±18.5). The overall prevalence of eye worm in Akoko-Edo LGA was 3.9% and 5.3% in Etsako East LGA while the rates recorded in communities surveyed ranged from 0–21.3%. The prevalence of eye worm increased with age in both LGAs and prevalence of the disease was found to be slightly higher amongst males in both LGAs. From the results obtained in this survey, none of the communities investigated is at risk of Loa loa related adverse reactions. Ivermectin distribution in these CDTI communities should
therefore be continued.