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Identifying risk factors for tungiasis and heavy infestation in a resource-poor community in northeast Brazil.
Trans R Soc Trop Med Hyg. 2006 Apr; 100(4):371-80.TR

Abstract

Tungiasis is a neglected parasitic skin disease caused by penetration of female sand fleas into the epidermis. The ectoparasitosis is widespread in resource-poor communities in South America, the Caribbean and sub-Saharan Africa. To identify risk factors for the presence of sand fleas and severe infestation in an endemic community, we examined the entire population of a traditional fishing village for the presence of embedded sand fleas and determined the number and type of lesions. Demographic, behavioural and environmental characteristics of the population were assessed using a structured questionnaire. Multivariable analysis showed that both occurrence of tungiasis and heavy infestation were significantly related to poor housing conditions (odds ratio [OR]=4.7, 95% CI 1.4-15.8), lack of health education (OR=4.1, 95% CI 2.0-8.6) and presence of animals on the compound (OR=1.9, 95% CI 1.1-3.4). Contrary to common belief, a protective effect of frequent use of closed footwear could not be demonstrated. Based on the population attributable fractions calculated for the major risk factors identified, we conclude that several low-cost interventions would have a considerable impact on the occurrence of tungiasis and heavy infestation.

Authors+Show Affiliations

Department of Medical Microbiology, Institute of Infectious Medicine, Charité University Medicine Berlin, Campus Benjamin Franklin, Berlin, Germany. muehlenm@rki.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

16297946

Citation

Muehlen, Marion, et al. "Identifying Risk Factors for Tungiasis and Heavy Infestation in a Resource-poor Community in Northeast Brazil." Transactions of the Royal Society of Tropical Medicine and Hygiene, vol. 100, no. 4, 2006, pp. 371-80.
Muehlen M, Feldmeier H, Wilcke T, et al. Identifying risk factors for tungiasis and heavy infestation in a resource-poor community in northeast Brazil. Trans R Soc Trop Med Hyg. 2006;100(4):371-80.
Muehlen, M., Feldmeier, H., Wilcke, T., Winter, B., & Heukelbach, J. (2006). Identifying risk factors for tungiasis and heavy infestation in a resource-poor community in northeast Brazil. Transactions of the Royal Society of Tropical Medicine and Hygiene, 100(4), 371-80.
Muehlen M, et al. Identifying Risk Factors for Tungiasis and Heavy Infestation in a Resource-poor Community in Northeast Brazil. Trans R Soc Trop Med Hyg. 2006;100(4):371-80. PubMed PMID: 16297946.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Identifying risk factors for tungiasis and heavy infestation in a resource-poor community in northeast Brazil. AU - Muehlen,Marion, AU - Feldmeier,Hermann, AU - Wilcke,Thomas, AU - Winter,Benedikt, AU - Heukelbach,Jörg, Y1 - 2005/11/17/ PY - 2005/04/11/received PY - 2005/06/18/revised PY - 2005/06/21/accepted PY - 2005/11/22/pubmed PY - 2006/7/29/medline PY - 2005/11/22/entrez SP - 371 EP - 80 JF - Transactions of the Royal Society of Tropical Medicine and Hygiene JO - Trans R Soc Trop Med Hyg VL - 100 IS - 4 N2 - Tungiasis is a neglected parasitic skin disease caused by penetration of female sand fleas into the epidermis. The ectoparasitosis is widespread in resource-poor communities in South America, the Caribbean and sub-Saharan Africa. To identify risk factors for the presence of sand fleas and severe infestation in an endemic community, we examined the entire population of a traditional fishing village for the presence of embedded sand fleas and determined the number and type of lesions. Demographic, behavioural and environmental characteristics of the population were assessed using a structured questionnaire. Multivariable analysis showed that both occurrence of tungiasis and heavy infestation were significantly related to poor housing conditions (odds ratio [OR]=4.7, 95% CI 1.4-15.8), lack of health education (OR=4.1, 95% CI 2.0-8.6) and presence of animals on the compound (OR=1.9, 95% CI 1.1-3.4). Contrary to common belief, a protective effect of frequent use of closed footwear could not be demonstrated. Based on the population attributable fractions calculated for the major risk factors identified, we conclude that several low-cost interventions would have a considerable impact on the occurrence of tungiasis and heavy infestation. SN - 0035-9203 UR - https://www.unboundmedicine.com/medline/citation/16297946/Identifying_risk_factors_for_tungiasis_and_heavy_infestation_in_a_resource_poor_community_in_northeast_Brazil_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0035-9203(05)00294-4 DB - PRIME DP - Unbound Medicine ER -