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Long term impact of large scale community-directed delivery of doxycycline for the treatment of onchocerciasis

Overview of attention for article published in Parasites & Vectors, March 2012
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Title
Long term impact of large scale community-directed delivery of doxycycline for the treatment of onchocerciasis
Published in
Parasites & Vectors, March 2012
DOI 10.1186/1756-3305-5-53
Pubmed ID
Authors

Francesca Tamarozzi, Nicholas Tendongfor, Peter A Enyong, Mathias Esum, Brian Faragher, Samuel Wanji, Mark J Taylor

Abstract

Anti-Wolbachia treatment with doxycycline is effective in sterilising and killing adult Onchocerca volvulus nematodes, proving superior to ivermectin and of great potential as an alternative approach for the treatment and control of onchocerciasis, particularly in areas of Loa loa co-endemicity. Nevertheless, the length of the required treatment poses potential logistical problems and risk of poor compliance, raising a barrier to the use of doxycycline in Mass Drug Administration (MDA) strategies. In 2007 and 2008 a feasibility trial of community-directed treatment with doxycycline was carried out in two health districts in Cameroon, co-endemic for O. volvulus and L. loa. With 17,519 eligible subjects, the therapeutic coverage was 73.8% with 97.5% compliance, encouraging the feasibility of using doxycycline community-directed delivery in restricted populations of this size. The current study evaluated the effectiveness of this community-directed delivery of doxycycline four years after delivery.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 90 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Brazil 2 2%
Unknown 88 98%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 20 22%
Researcher 17 19%
Student > Master 12 13%
Other 6 7%
Student > Bachelor 5 6%
Other 17 19%
Unknown 13 14%
Readers by discipline Count As %
Medicine and Dentistry 23 26%
Agricultural and Biological Sciences 17 19%
Biochemistry, Genetics and Molecular Biology 6 7%
Immunology and Microbiology 5 6%
Nursing and Health Professions 4 4%
Other 22 24%
Unknown 13 14%