2013
DOI: 10.4269/ajtmh.12-0775
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Community-Wide Distribution of Long-Lasting Insecticidal Nets Can Halt Transmission of Lymphatic Filariasis in Southeastern Nigeria

Abstract: Abstract. Lymphatic filariasis (LF) in rural southeastern Nigeria is transmitted mainly by Anopheles spp. mosquitoes. Potential coinfection with Loa loa in this area has prevented use of ivermectin in the mass drug administration (MDA) strategy for LF elimination because of potential severe adverse L. loa-related reactions. This study determined if longlasting insecticidal net (LLIN) distribution programs for malaria would interrupt LF transmission in such areas, without need for MDA. Monthly entomologic monit… Show more

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Cited by 41 publications
(37 citation statements)
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References 22 publications
(21 reference statements)
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“…The 2010/2011 LLIN distribution had a significant impact on our entomological findings in the SVs. These findings mirror those reported in an LLIN-only approach utilized in south-east Nigeria, where the program area experienced a statistically significant decrease in LF infection and infectivity [4]. Entomologically, it became evident in the SVs that LF transmission was completely interrupted after 2010.…”
Section: Discussionsupporting
confidence: 79%
“…The 2010/2011 LLIN distribution had a significant impact on our entomological findings in the SVs. These findings mirror those reported in an LLIN-only approach utilized in south-east Nigeria, where the program area experienced a statistically significant decrease in LF infection and infectivity [4]. Entomologically, it became evident in the SVs that LF transmission was completely interrupted after 2010.…”
Section: Discussionsupporting
confidence: 79%
“…However, the very high bed net coverage noted in 2011 was somehow inflated, due to the free household distribution of ITNs, and it declined to some extent afterwards. Bed net use can be an important supportive measure for LF control [48][49][50], but it is necessary to invest efforts in motivating and engaging people in correct usage of the nets to give optimal health benefits. Otherwise many nets will be transformed into other useful appliances during the seasons with low mosquito densities.…”
Section: Discussionmentioning
confidence: 99%
“…Whilst bed nets have the potential to interrupt transmission without the need for MDA (Richards et al . ), this requires a high geographical coverage of bed nets, plus the nets need to be used consistently and correctly, and as such, WHO currently recommends MDA as the primary method for interrupting transmission (WHO ; WHO and Global Programme to Eliminate Lymphatic Filariasis ). With regard to the assumption regarding MDA for onchocerciasis, whilst there is evidence that this has impacted LF transmission (Kyelem et al .…”
Section: Resultsmentioning
confidence: 99%