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Lymphatic filariasis patient identification in a large urban area of Tanzania: An application of a community-led Mhealth system.

Abstract Lymphatic filariasis (LF) is best known for the disabling and disfiguring clinical conditions that infected patients can develop; providing care for these individuals is a major goal of the Global Programme to Eliminate LF. Methods of locating these patients, knowing their true number and thus providing care for them, remains a challenge for national medical systems, particularly when the endemic zone is a large urban area.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title plos neglected tropical diseases
Publication Year Start




PMID- 28708825
OWN - NLM
STAT- Publisher
DA  - 20170714
LR  - 20170714
IS  - 1935-2735 (Electronic)
IS  - 1935-2727 (Linking)
VI  - 11
IP  - 7
DP  - 2017 Jul 14
TI  - Lymphatic filariasis patient identification in a large urban area of Tanzania: An
      application of a community-led Mhealth system.
PG  - e0005748
LID - 10.1371/journal.pntd.0005748 [doi]
AB  - BACKGROUND: Lymphatic filariasis (LF) is best known for the disabling and
      disfiguring clinical conditions that infected patients can develop; providing
      care for these individuals is a major goal of the Global Programme to Eliminate
      LF. Methods of locating these patients, knowing their true number and thus
      providing care for them, remains a challenge for national medical systems,
      particularly when the endemic zone is a large urban area. METHODOLOGY/PRINCIPLE
      FINDINGS: A health community-led door-to-door survey approach using the SMS
      reporting tool MeasureSMS-Morbidity was used to rapidly collate and monitor data 
      on LF patients in real-time (location, sex, age, clinical condition) in Dar es
      Salaam, Tanzania. Each stage of the phased study carried out in the three urban
      districts of city consisted of a training period, a patient identification and
      reporting period, and a data verification period, with refinements to the system 
      being made after each phase. A total of 6889 patients were reported (133.6 per
      100,000 population), of which 4169 were reported to have hydrocoele (80.9 per
      100,000), 2251 lymphoedema-elephantiasis (LE) (43.7 per 100,000) and 469 with
      both conditions (9.1 per 100,000). Kinondoni had the highest number of reported
      patients in absolute terms (2846, 138.9 per 100,000), followed by Temeke (2550,
      157.3 per 100,000) and Ilala (1493, 100.5 per 100,000). The number of hydrocoele 
      patients was almost twice that of LE in all three districts. Severe LE patients
      accounted for approximately a quarter (26.9%) of those reported, with the number 
      of acute attacks increasing with reported LE severity (1.34 in mild cases, 1.78
      in moderate cases, 2.52 in severe). Verification checks supported these findings.
      CONCLUSIONS/SIGNIFICANCE: This system of identifying, recording and mapping
      patients affected by LF greatly assists in planning, locating and prioritising,
      as well as initiating, appropriate morbidity management and disability prevention
      (MMDP) activities. The approach is a feasible framework that could be used in
      other large urban environments in the LF endemic areas.
FAU - Mwingira, Upendo
AU  - Mwingira U
AD  - Neglected Tropical Diseases Control Programme, Ministry of Health and Social
      Welfare, Dar es Salaam, Tanzania.
AD  - National Institute for Medical Research, Dar es Salaam, Tanzania.
FAU - Chikawe, Maria
AU  - Chikawe M
AD  - Neglected Tropical Diseases Control Programme, Ministry of Health and Social
      Welfare, Dar es Salaam, Tanzania.
AD  - National Institute for Medical Research, Dar es Salaam, Tanzania.
FAU - Mandara, Wilfred Lazarus
AU  - Mandara WL
AD  - Neglected Tropical Diseases Control Programme, Ministry of Health and Social
      Welfare, Dar es Salaam, Tanzania.
FAU - Mableson, Hayley E
AU  - Mableson HE
AD  - Centre for Neglected Tropical Diseases (CNTD), Department of Parasitology,
      Liverpool School of Tropical Medicine, Liverpool, United Kingdom.
FAU - Uisso, Cecilia
AU  - Uisso C
AD  - Neglected Tropical Diseases Control Programme, Ministry of Health and Social
      Welfare, Dar es Salaam, Tanzania.
FAU - Mremi, Irene
AU  - Mremi I
AD  - Neglected Tropical Diseases Control Programme, Ministry of Health and Social
      Welfare, Dar es Salaam, Tanzania.
FAU - Malishee, Alpha
AU  - Malishee A
AD  - Neglected Tropical Diseases Control Programme, Ministry of Health and Social
      Welfare, Dar es Salaam, Tanzania.
FAU - Malecela, Mwele
AU  - Malecela M
AD  - National Institute for Medical Research, Dar es Salaam, Tanzania.
FAU - Mackenzie, Charles D
AU  - Mackenzie CD
AD  - Centre for Neglected Tropical Diseases (CNTD), Department of Parasitology,
      Liverpool School of Tropical Medicine, Liverpool, United Kingdom.
AD  - Department of Pathobiology and Diagnostic Investigation, Michigan State
      University, Michigan, United States of America.
FAU - Kelly-Hope, Louise A
AU  - Kelly-Hope LA
AD  - Centre for Neglected Tropical Diseases (CNTD), Department of Parasitology,
      Liverpool School of Tropical Medicine, Liverpool, United Kingdom.
FAU - Stanton, Michelle C
AU  - Stanton MC
AUID- ORCID: http://orcid.org/0000-0002-1754-4894
AD  - Centre for Neglected Tropical Diseases (CNTD), Department of Parasitology,
      Liverpool School of Tropical Medicine, Liverpool, United Kingdom.
LA  - eng
PT  - Journal Article
DEP - 20170714
PL  - United States
TA  - PLoS Negl Trop Dis
JT  - PLoS neglected tropical diseases
JID - 101291488
EDAT- 2017/07/15 06:00
MHDA- 2017/07/15 06:00
CRDT- 2017/07/15 06:00
PHST- 2017/01/05 [received]
PHST- 2017/06/25 [accepted]
AID - 10.1371/journal.pntd.0005748 [doi]
AID - PNTD-D-16-02251 [pii]
PST - aheadofprint
SO  - PLoS Negl Trop Dis. 2017 Jul 14;11(7):e0005748. doi:
      10.1371/journal.pntd.0005748.