An integrated active case detection and management of skin NTDs in yaws endemic health districts in Cameroon, Côte d'Ivoire and Ghana.
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История · было → стало
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Tchatchouang Serges, Basing Laud A, Kouadio-Aboh Hugues, Handley Becca L, G-Beiras Camila, Amanor Ivy, Ndzomo Philippe, Bakheit Mohammed, Becherer Lisa, Knauf Sascha, Müller Claudia, Njih-Tabah Earnest, Njamnshi Theophilus, Crucitti Tania, Borst Nadine, Lüert Simone, Frischmann Sieghard, Gmoser Helena, Landmann Emelie, Sylla Aboubacar, Kouamé-Sina Mireille S, Arhinful Daniel, Awondo Patrick, Menguena Gely, Harding-Esch Emma-Michèle, Tano Adingra, Kaloga Mamadou, Koffi-Aboa Paul, Konama-Kotey Nana, Mitjà Oriol, Eyangoh Sara, Kwasi-Addo Kennedy, Ngazoa-Kakou Solange, Marks Michael
Аннотация
METHODS: From March 2021 to March 2023, integrated case searches for yaws alongside other skin conditions were performed in endemic health districts of yaws in Cameroon, Côte d'Ivoire, and Ghana. Integrated activities included training, social mobilization and active case detection. Initial screening involved a brief clinical examination of participants to determine if any skin conditions were suspected. Cases of skin NTDs were then referred to a health facility for appropriate management.
RESULTS: Overall 61,080 individuals screened, 11,387 (18.6%) had skin lesions. The majority of individuals (>90%) examined were children aged 15 years old and under. The proportion of serologically confirmed yaws cases was 8.6% (18/210) in Cameroon, 6.8% (84/1232) in Côte d'Ivoire, and 26.8% (440/1643) in Ghana. Other skin conditions based on clinical examination included: scabies, Buruli ulcer, leprosy, lymphatic filariasis (lymphoedema and hydrocele), tungiasis, and fungal infections. The most common conditions were scabies and superficial fungal infections. In Cameroon, scabies and superficial fungal infections accounted for 5.1% (214/4204) and 88.7% (3730/4204) respectively, 25.2% (1285/5095) and 50.4% (2567/5095) in Côte d'Ivoire. In Ghana, 20% (419/2090) of individuals had scabies but superficial fungal infections were not routinely recorded and were reported in only 1.3% (28/2090). Other skin NTDs were less common across all three countries.
CONCLUSION: This study confirms that integrated screening allows simultaneous detection of multiple skin NTDs, maximising use of scarce resources.