scholarly journals Integrated Approach in the Control and Management of Skin Neglected Tropical Diseases in three health districts of Côte d’Ivoire

2019 ◽  
Author(s):  
Aboa Paul Koffi ◽  
Théodore Ange Kouakou Yao ◽  
YVES Thierry BAROGUI ◽  
Gabriel Diez ◽  
Simplice Djakeaux ◽  
...  
Keyword(s):  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Neglected Tropical Diseases ◽  
Buruli Ulcer ◽  
Integrated Approach ◽  
Tropical Diseases ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Skin Conditions ◽  
Health Districts

Abstract Background Neglected Tropical Diseases (NTDs) comprise 20 communicable diseases that are prevalent in rural poor and remote communities with less access to the health system. For an effective and efficient control, the WHO recommends to affected countries the implementation of integrated control interventions that take into account the different co-endemic NTDs in the same community. However, implementing these integrated interventions involving several diseases with different etiologies, requiring different control approaches and driven by different vertical programs remains a challenge. We report here the results and lessons learned from a pilot test of this integrated approach based on integrated screening of skin diseases in three co-endemic health districts of Côte d'Ivoire, a West African country endemic for Buruli ulcer, leprosy and yaw three skin NTDs. Method This cross-sectional study took place from April 2016 to March 2017 in 3 Districts of Côte d’Ivoire co-endemic for BU, leprosy and yaws. It was carried out in 6 stages: identification of potentially co-endemic communities; stakeholder training; social mobilization; mobile medical consultations; case detection and management; and a review meeting. Results In total, 2310 persons screened had skin lesions at the screening stage. Among them, 07 cases were diagnosed as Buruli ulcer. There were 30 leprosy cases and 15 yaws detected. Other types of ulcerations and skin conditions have been identified and represent the majority of cases detected. We learned from this pilot experience that integration can be successfully implemented in co-endemic communities in Côte d’Ivoire. Health workers are motivated and available to implement integrated interventions instead of interventions focused on a single disease. However, it is essential to provide capacity building, a minimum of drugs and consumables for the care of the patients detected, as well as follow up of detected patients including those with other skin conditions. Conclusions The results of this study show that the integration of activities can be successfully implemented in co-endemic communities under the condition of a staff capacity building and a minimal care of the detected patients.

scholarly journals Integrated Approach in the Control and Management of Skin Neglected Tropical Diseases in three health districts of Côte d’Ivoire

2020 ◽  
Author(s):  
Aboa Paul Koffi ◽  
Théodore Ange Kouakou Yao ◽  
Yves Thierry BAROGUI ◽  
Gabriel Diez ◽  
Simplice Djakeaux ◽  
...  
Keyword(s):  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Neglected Tropical Diseases ◽  
Buruli Ulcer ◽  
Integrated Approach ◽  
Tropical Diseases ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Skin Conditions ◽  
Health Districts

Abstract Background Neglected Tropical Diseases (NTDs) comprise 20 communicable diseases that are prevalent in rural poor and remote communities with less access to the health system. For an effective and efficient control, the WHO recommends to affected countries the implementation of integrated control interventions that take into account the different co-endemic NTDs in the same community. However, implementing these integrated interventions involving several diseases with different etiologies, requiring different control approaches and driven by different vertical programs remains a challenge. We report here the results and lessons learned from a pilot test of this integrated approach based on integrated screening of skin diseases in three co-endemic health districts of Côte d'Ivoire, a West African country endemic for Buruli ulcer, leprosy and yaw. Method This cross-sectional study took place from April 2016 to March 2017 in 3 Districts of Côte d’Ivoire co-endemic for BU, leprosy and yaws. It was carried out in 6 stages: identification of potentially co-endemic communities; stakeholder training; social mobilization; mobile medical consultations; case detection and management; and a review meeting. Results We have included in the study all patients with ‘skin signs and symptoms at the screening stage who accepted voluntarily to be screened. In total, 2310 persons screened had skin lesions at the screening stage. Among them, 07 cases were diagnosed as Buruli ulcer. There were 30 leprosy cases and 15 yaws detected. Other types of ulcerations and skin conditions have been identified and represent the majority of cases detected. We learned from this pilot experience that integration can be successfully implemented in co-endemic communities in Côte d’Ivoire. Health workers are motivated and available to implement integrated interventions instead of interventions focused on a single disease. However, it is essential to provide capacity building, a minimum of drugs and consumables for the care of the patients detected, as well as follow up of detected patients including those with other skin conditions. Conclusions The results of this study show that the integration of activities can be successfully implemented in co-endemic communities under the condition of a staff capacity building and a minimal care of the detected patients.

scholarly journals Integrated Approach in the Control and Management of Skin Neglected Tropical Diseases in Three Health Districts of Côte d’Ivoire

2020 ◽  
Author(s):  
Aboa Paul Koffi ◽  
Théodore Ange Kouakou Yao ◽  
Yves Thierry BAROGUI ◽  
Gabriel Diez ◽  
Simplice Djakeaux ◽  
...  
Keyword(s):  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Neglected Tropical Diseases ◽  
Buruli Ulcer ◽  
Integrated Approach ◽  
Tropical Diseases ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Skin Conditions ◽  
Health Districts

Abstract Background: Neglected tropical diseases (NTDs) comprise 20 communicable diseases that are prevalent in rural poor and remote communities with less access to the health system. For effective and efficient control, the WHO recommends that affected countries implement integrated control interventions that take into account the different co-endemic NTDs in the same community. However, implementing these integrated interventions involving several diseases with different etiologies, requiring different control approaches and driven by different vertical programs, remains a challenge. We report here the results and lessons learned from a pilot test of this integrated approach based on integrated screening of skin diseases in three co-endemic health districts of Côte d'Ivoire, a West African country endemic for Buruli ulcer, leprosy and yaw.Method: This cross-sectional study took place from April 2016 to March 2017 in 3 districts of Côte d’Ivoire co-endemic for BU, leprosy and yaws. The study was carried out in 6 stages: identification of potentially co-endemic communities; stakeholder training; social mobilization; mobile medical consultations; case detection and management; and a review meeting.Results: We included in the study all patients with skin signs and symptoms at the screening stage who voluntarily accepted screening.In total, 2310 persons screened had skin lesions at the screening stage. Among them, 07 cases were diagnosed with Buruli ulcer. There were 30 leprosy cases and 15 yaws detected. Other types of ulcerations and skin conditions have been identified and represent the majority of cases detected. We learned from this pilot experience that integration can be successfully implemented in co-endemic communities in Côte d’Ivoire. Health workers are motivated and available to implement integrated interventions instead of interventions focused on a single disease. However, it is essential to provide capacity building, a minimum of drugs and consumables for the care of the patients identified, as well as follow-up of identified patients, including those with other skin conditions.Conclusions: The results of this study show that the integration of activities can be successfully implemented in co-endemic communities under the condition of staff capacity building and minimal care of identified patients.

scholarly journals Integrated approach in the control and management of skin neglected tropical diseases in three health districts of Côte d’Ivoire

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Aboa Paul Koffi ◽  
Théodore Ange Kouakou Yao ◽  
Yves Thierry Barogui ◽  
Gabriel Diez ◽  
Simplice Djakeaux ◽  
...  
Keyword(s):  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Neglected Tropical Diseases ◽  
Integrated Approach ◽  
Tropical Diseases ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Control And Management ◽  
Health Districts

scholarly journals Integrated approach in the management of skin NTDs: Situational analysis of the integrated screening campaigns of skin diseases (leprosy, Buruli ulcer and yaws) in three health districts of Côte d’Ivoire

2019 ◽  
Author(s):  
Aboa Paul Koffi ◽  
Théodore Ange Kouakou Yao ◽  
YVES Thierry BAROGUI ◽  
Roch Christian Johnson ◽  
Gabriel Diez ◽  
...  
Keyword(s):  
Capacity Building ◽  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Skin Diseases ◽  
Buruli Ulcer ◽  
Integrated Approach ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Integrated Screening ◽  
Health Districts

Abstract BackgroundNeglected Tropical Diseases (NTDs) comprise 20 communicable diseases that are prevalent in rural poor and remote communities with less access to the health system. For an effective and efficient control, the WHO recommends to affected countries the implementation of integrated control interventions that take into account the different co-endemic NTDs in the same community. However, implementing these integrated interventions involving several diseases with different etiologies, requiring different control approaches and driven by different vertical programs remains a challenge. We report here the results and lessons learned from a pilot test of this integrated approach based on integrated screening of skin diseases in three co-endemic health districts of Côte d'Ivoire, a West African country endemic for Buruli ulcer, leprosy and yaw three skin NTDs. MethodThis cross-sectional study took place from April 2016 to March 2017 in 3 Districts of Côte d’Ivoire co-endemic for BU, leprosy and yaws. It was carried out in 6 stages: identification of potentially co-endemic communities; stakeholder training; social mobilization; mobile medical consultations; case detection and management; and a review meeting.ResultsIn total, 2310 persons were screened with skin diseases. Among them, 07 cases were diagnosed as Buruli ulcer. There were 30 leprosy cases and 15 yaws detected. Other types of ulcerations and skin conditions have been identified and represent the majority of cases detected. We learned from this pilot experience that integration can be successfully implemented in co-endemic communities in Côte d’Ivoire. Health workers are motivated and available to implement integrated interventions instead of interventions focused on a single disease. However, it is essential to provide capacity building, a minimum of drugs and consumables for the care of the patients detected, as well as follow up of detected patients including those with other skin conditions.ConclusionsThe results of this study show that the integration of activities can be successfully implemented in co-endemic communities under the condition of a staff capacity building and a minimal care of the detected patients.

Schistosomiasis and soil-transmitted helminthiasis control in Cameroon and Côte d'Ivoire: implementing control on a limited budget

Parasitology ◽  
2009 ◽  
Vol 136 (13) ◽  
pp. 1739-1745 ◽  
Author(s):  
L. A. TCHUEM TCHUENTÉ ◽  
E. K. N'GORAN
Keyword(s):  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Neglected Tropical Diseases ◽  
Public Health Problem ◽  
Effective Control ◽  
Major Public Health Problem ◽  
Tropical Diseases ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Soil Transmitted Helminthiasis

SUMMARYSchistosomiasis and soil-transmitted helminthiasis occur throughout the developing world and remain a major public health problem in the poorest communities with enormous consequences for development. The extent of the problem has long been neglected because these diseases rarely kill at a young age and also because of their insidious nature. Today there exists a momentum and an unprecedented opportunity for a cost-effective control of these neglected tropical diseases. The control of these diseases has become a priority on the agenda of many governments, donors and international agencies. This paper highlights the progress made and future control activities in Cameroon and Côte d'Ivoire, where schistosomiasis and soil-transmitted helminthiasis control measures have been implemented over the past decade with limited budgets. In Cameroon, deworming activities were increased to encompass all ten regions in 2007 as a result of a co-ordinated effort of the Ministry of Health and the Ministry of Education with national and international partners. In Côte d'Ivoire, focal control activities were achieved with support from various partners. Prospects, opportunities and challenges for the control of neglected tropical diseases in these two countries are discussed.

Assessing Anopheles Vector Species Diversity and Transmission of Malaria in Cross-Border Areas of Côte d'Ivoire

2020 ◽  
Author(s):  
Firmain N. Yokoly ◽  
Julien B. Z. Zahouli ◽  
Graham Small ◽  
Allassane F. Ouattara ◽  
Millicent Opoku ◽  
...  
Keyword(s):  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Malaria Prevalence ◽  
Vector Species ◽  
Cote D’Ivoire ◽  
Cross Border ◽  
Côte D'ivoire ◽  
Border Areas ◽  
Health Districts ◽  
Sporozoite Infection

Abstract Background Although malaria and Anopheles mosquito vectors are highly prevalent in Côte d'Ivoire, data are still lacking on disease transmission dynamics in cross-border areas. To address this lack of information, we assessed the Anopheles mosquito vector species diversity, the An. gambiae complex members and the transmission of malaria in four cross-border areas of Côte d'Ivoire.Method From July 2016 to December 2017, we collected adult Anopheles mosquitoes in four cross-border health districts of Côte d’Ivoire (Aboisso, Bloléquin, Odienné and Ouangolodougou) using standardized window exit trap (WET) and pyrethrum knockdown spray collection (PSC) methods. We identified collected mosquitoes morphologically at species level and An. gambiae complex members using short interspersed nuclear element-based polymerase chain reaction (SINE-PCR). We analyzed An. gambiae, An. funestus and An. nili specimens for malaria Plasmodium parasite infection using the cytochrome oxidase I gene (COX-I), and malaria prevalence among human population through local Ministry of Health (MoH) statistical yearbooks.Results In total, 281, 754, 1,319 and 2,443 specimens of Anopheles adult females were collected in Aboisso, Bloléquin, Odienné and Ouangolodougou, respectively. We found seven Anopheles species dominated by An. gambiae s.l. (94.8%-99.1%), followed by An. funestus (0.4%-4.3%) and An. nili (0%-0.7%). Among An. gambiae s.l., An. coluzzii predominated in Aboisso (89.2%) and Bloléquin (92.2%), while An. gambiae s.s. was present at the highest frequency in Odienné (96.0%) and Ouangolodougou (94.2%). The Plasmodium sporozoite infection rate in An. gambiae s.l. was highest in Odienné (11.0 %; n = 100) followed by Bloléquin (7.8%, n = 115), Aboisso (3.1%; n = 65) and Ouangologoudou (2.5%; n = 120). In An. funestus, P. falciparum sporozoite infection rate was estimated at 6.2% (n = 32) in Bloléquin, 8.7% (n = 23) in Odienné. No An. funestus specimens were found infected with P. falciparum sporozoite infection in Ouangolodougou and Aboisso. No P. falciparum sporozoite was detected in An. nili specimens in the four health districts. Among the local human populations, malaria prevalence rate was higher in Odienné (39.7%; n = 45,376) and Bloléquin (37.6%; n = 150,205) compared with that in Ouangolodougou (18.3%; n = 131,629) and Aboisso (19.7%; n = 364,585).Conclusion In cross-border health districts of Côte d’Ivoire, Anopheles vector species diversity and abundance and Plasmodium sporozoite infection were high, thus resulting in high transmission of malaria to local populations. An. gambiae and An. funestus were found to be highly Plasmodium-infected in the health districts of Bloléquin and Odienné where malaria prevalence among humans was particularly high. This study provides important information that can be used to guide national malaria control programme strategies in Côte d’Ivoire, mainly in cross-border settings.

scholarly journals Impact of common skin diseases on children in rural Côte d’Ivoire with leprosy and Buruli ulcer co-endemicity: A mixed methods study

2020 ◽  
Vol 14 (5) ◽  
pp. e0008291
Author(s):  
Rie Roselyne Yotsu ◽  
Colombe Coffie Comoé ◽  
Germaine Taïba Ainyakou ◽  
N’guessan Konan ◽  
Amari Akpa ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Skin Diseases ◽  
Buruli Ulcer ◽  
Mixed Methods Study ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Common Skin

scholarly journals Assessing Anopheles vector species diversity and transmission of malaria in four health districts along the borders of Côte d’Ivoire

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Firmain N. Yokoly ◽  
Julien B. Z. Zahouli ◽  
Graham Small ◽  
Allassane F. Ouattara ◽  
Millicent Opoku ◽  
...  
Keyword(s):  
Species Diversity ◽  
Anopheles Gambiae ◽  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Malaria Incidence ◽  
Vector Species ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Health Districts ◽  
Sporozoite Infection

Abstract Background Although malaria and Anopheles mosquito vectors are highly prevalent in Côte d’Ivoire, limited data are available to help understand the malaria vector density and transmission dynamics in areas bordering the country. To address this gap, the Anopheles mosquito species diversity, the members of the Anopheles gambiae complex and the transmission of malaria were assessed in four health districts along the borders of Côte d’Ivoire. Methods From July 2016 through December 2016 and July 2017 through December 2017, adult Anopheles mosquitoes were collected in four health districts of Côte d’Ivoire (Aboisso, Bloléquin, Odienné and Ouangolodougou) using standardized window exit trap (WET) and pyrethrum knockdown spray collection (PSC) methods. The collected mosquitoes were identified morphologically at species level and the members of the An. gambiae complex were separated using short interspersed nuclear element-based polymerase chain reaction (SINE-PCR). Anopheles gambiae sensu lato (s.l.), Anopheles funestus s.l. and Anopheles nili specimens were analysed for malaria Plasmodium parasite detection using the cytochrome oxidase I gene (COX-I), and malaria prevalence among human population through local Ministry of Health (MoH) statistical yearbooks. Results A total of 281 female Anopheles were collected in Aboisso, 754 in Bloléquin, 1319 in Odienné and 2443 in Ouangolodougou. Seven Anopheles species were recorded including An. gambiae s.l. (94.8–99.1%) as the main vector, followed by An. funestus s.l. (0.4–4.3%) and An. nili (0–0.7%). Among An. gambiae s.l., Anopheles coluzzii represented the predominant species in Aboisso (89.2%) and Bloléquin (92.2%), while An. gambiae sensu stricto (s.s.) was the major species in Odienné (96.0%) and Ouangolodougou (94.2%). The Plasmodium sporozoite infection rate in An. gambiae s.l. was highest in Odienné (11.0%; n = 100) followed by Bloléquin (7.8%, n = 115), Aboisso (3.1%; n = 65) and Ouangologoudou (2.5%; n = 120). In An. funestus s.l., Plasmodium falciparum sporozoite infection rate was estimated at 6.2% (n = 32) in Bloléquin, 8.7% (n = 23) in Odienné. No An. funestus s.l. specimens were found infected with P. falciparum sporozoite infection in Ouangolodougou and Aboisso. No P. falciparum sporozoite was detected in An. nili specimens in the four health districts. Among the local human populations, malaria incidence was higher in Odienné (39.7%; n = 45,376) and Bloléquin (37.6%; n = 150,205) compared to that in Ouangolodougou (18.3%; n = 131,629) and Aboisso (19.7%; n = 364,585). Conclusion Anopheles vector species diversity, abundance and Plasmodium sporozoite infection were high within the health districts along the borders of the country of Côte d’Ivoire, resulting in high malaria transmission among the local populations. Anopheles gambiae s.l. and An. funestus s.l. were found to be highly infected with Plasmodium in the health districts of Bloléquin and Odienné where higher malaria incidence was observed than the other districts. This study provides important information that can be used to guide Côte d’Ivoire National Malaria Control Programme for vector control decision-making, mainly in districts that are at the country borders.

Child case of Buruli ulcer successfully treated through a school‐based skin survey project in Côte d’Ivoire

2019 ◽  
Vol 47 (2) ◽  
Author(s):  
Rie R. Yotsu ◽  
Chiaki Murase ◽  
Konan N’guessan ◽  
Aubin Yao ◽  
Kouamé Kouadio ◽  
...  
Keyword(s):  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Buruli Ulcer ◽  
Cote D’Ivoire ◽  
School Based ◽  
Côte D'ivoire
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