'Slash and clear' vector control for onchocerciasis elimination and epilepsy prevention: a protocol of a cluster randomised trial in Cameroonian villages.


Journal

BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874

Informations de publication

Date de publication:
02 09 2021
Historique:
entrez: 3 9 2021
pubmed: 4 9 2021
medline: 16 9 2021
Statut: epublish

Résumé

Onchocerciasis, caused by the filarial nematode We aim to assess the effectiveness of annual S&C interventions combined with CDTI in reducing onchocerciasis transmission and epilepsy incidence. Eight onchocerciasis-endemic villages located <5 km from the Mbam or Sanaga rivers will be randomised to two arms: four villages will receive yearly CDTI only for two consecutive years (Arm 1), while the other four villages will receive CDTI plus annual S&C for 2 years (Arm 2). Study outcomes (blackfly biting rates, infectivity rates and seroprevalence of onchocerciasis antibodies (Ov16 antibodies) in children, prevalence of microfilaridermia and epilepsy incidence) will be monitored prospectively and compared across study arms. We expect that S&C will have an added benefit over CDTI alone. The protocol has received ethical approval from the institutional review board of the Cameroon Baptist Convention Health Board (reference number: IRB2021-03) and has been registered with the Pan African Clinical Trials Registry. Findings will be disseminated at national and international levels via meetings and peer-reviewed publications. PACTR202101751275357.

Identifiants

pubmed: 34475178
pii: bmjopen-2021-050341
doi: 10.1136/bmjopen-2021-050341
pmc: PMC8413955
doi:

Substances chimiques

Ivermectin 70288-86-7

Types de publication

Clinical Trial Protocol Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e050341

Subventions

Organisme : Medical Research Council
ID : MR/R015600/1
Pays : United Kingdom

Informations de copyright

© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Joseph Nelson Siewe Fodjo (JN)

Brain Research Africa Initiative (BRAIN) & Neuroscience Lab, Faculty of Medicine and Biomedical Sciences, The University of Yaounde I, Yaounde, Cameroon.
Faculty of Medicine and Health Sciences, Global Health Institute, University of Antwerp, Wilrijk, Belgium.

Melissa Krizia Vieri (MK)

Faculty of Medicine and Health Sciences, Global Health Institute, University of Antwerp, Wilrijk, Belgium.

Leonard Ngarka (L)

Brain Research Africa Initiative (BRAIN) & Neuroscience Lab, Faculty of Medicine and Biomedical Sciences, The University of Yaounde I, Yaounde, Cameroon.

Wepnyu Y Njamnshi (WY)

Brain Research Africa Initiative (BRAIN) & Neuroscience Lab, Faculty of Medicine and Biomedical Sciences, The University of Yaounde I, Yaounde, Cameroon.

Leonard N Nfor (LN)

Brain Research Africa Initiative (BRAIN) & Neuroscience Lab, Faculty of Medicine and Biomedical Sciences, The University of Yaounde I, Yaounde, Cameroon.

Michel Karngong Mengnjo (MK)

Brain Research Africa Initiative (BRAIN) & Neuroscience Lab, Faculty of Medicine and Biomedical Sciences, The University of Yaounde I, Yaounde, Cameroon.

Adam Hendy (A)

Department of Pathology, The University of Texas Medical Branch, Galveston, Texas, USA.

Peter A Enyong (PA)

Research Foundation in Tropical Diseases and Environment, Buea, Cameroon.

Dennis Palmer (D)

Brain Research Africa Initiative (BRAIN) & Neuroscience Lab, Faculty of Medicine and Biomedical Sciences, The University of Yaounde I, Yaounde, Cameroon.

Maria-Gloria Basanez (MG)

Imperial College London, London, UK.

Robert Colebunders (R)

Faculty of Medicine and Health Sciences, Global Health Institute, University of Antwerp, Wilrijk, Belgium.

Alfred K Njamnshi (AK)

Brain Research Africa Initiative (BRAIN) & Neuroscience Lab, Faculty of Medicine and Biomedical Sciences, The University of Yaounde I, Yaounde, Cameroon alfred.njamnshi@brainafrica.org.

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Classifications MeSH