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Tungiasis: high prevalence, parasite load, and morbidity in a rural community in Lagos State, Nigeria.
Int J Dermatol. 2007 May; 46(5):475-81.IJ

Abstract

BACKGROUND

Tungiasis is common in resource-poor populations throughout Latin America, the Caribbean, and sub-Saharan Africa, but epidemiologic data from Africa on this ectoparasitosis are scarce.

METHODS

A cross-sectional study was carried out in a representative sample of a rural community in Lagos State, 54 km west of Lagos (Nigeria). In the dry season, 142 households of the community were randomly selected and visited. Family members were examined for the presence of tungiasis. The localization, number, and stage of penetrated fleas, as well as the associated morbidity, were documented.

RESULTS

Five hundred and fifty-seven individuals were examined, 299 (53.7%) males and 258 (46.3%) females. In total, 252 (45.2%; 95% confidence interval, 41.1-49.5) were infested with Tunga penetrans. The prevalence was highest between the ages of 5 and 14 years, decreased in adults, and increased again in the elderly. There was no statistically significant difference between the prevalence in males and females (47.2% vs. 43.0%; P = 0.3). Almost 95% of lesions were localized on the feet. Ten per cent of individuals presented with sand fleas on the hands and elbows. The median parasite load was six (interquartile range, 3-16). Individuals aged 60 years or over had significantly more lesions (median of 41 lesions; P < 0.01). About one-third of the study participants found it difficult to walk; in 10% of cases, fissures were present. Superinfection was common.

CONCLUSIONS

The prevalence of tungiasis and the parasite load were high, and the severity of the disease was considerable. The prevalence and parasite burden showed a characteristic distribution. In western Nigeria, tungiasis needs to be regarded as an important public health problem.

Authors+Show Affiliations

Department of Zoology, University of Ilorin, Ilorin, Nigeria.No affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

17472674

Citation

Ugbomoiko, Uade Samuel, et al. "Tungiasis: High Prevalence, Parasite Load, and Morbidity in a Rural Community in Lagos State, Nigeria." International Journal of Dermatology, vol. 46, no. 5, 2007, pp. 475-81.
Ugbomoiko US, Ofoezie IE, Heukelbach J. Tungiasis: high prevalence, parasite load, and morbidity in a rural community in Lagos State, Nigeria. Int J Dermatol. 2007;46(5):475-81.
Ugbomoiko, U. S., Ofoezie, I. E., & Heukelbach, J. (2007). Tungiasis: high prevalence, parasite load, and morbidity in a rural community in Lagos State, Nigeria. International Journal of Dermatology, 46(5), 475-81.
Ugbomoiko US, Ofoezie IE, Heukelbach J. Tungiasis: High Prevalence, Parasite Load, and Morbidity in a Rural Community in Lagos State, Nigeria. Int J Dermatol. 2007;46(5):475-81. PubMed PMID: 17472674.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Tungiasis: high prevalence, parasite load, and morbidity in a rural community in Lagos State, Nigeria. AU - Ugbomoiko,Uade Samuel, AU - Ofoezie,Ifeanyi Emmanuel, AU - Heukelbach,Jorg, PY - 2007/5/3/pubmed PY - 2007/6/19/medline PY - 2007/5/3/entrez SP - 475 EP - 81 JF - International journal of dermatology JO - Int J Dermatol VL - 46 IS - 5 N2 - BACKGROUND: Tungiasis is common in resource-poor populations throughout Latin America, the Caribbean, and sub-Saharan Africa, but epidemiologic data from Africa on this ectoparasitosis are scarce. METHODS: A cross-sectional study was carried out in a representative sample of a rural community in Lagos State, 54 km west of Lagos (Nigeria). In the dry season, 142 households of the community were randomly selected and visited. Family members were examined for the presence of tungiasis. The localization, number, and stage of penetrated fleas, as well as the associated morbidity, were documented. RESULTS: Five hundred and fifty-seven individuals were examined, 299 (53.7%) males and 258 (46.3%) females. In total, 252 (45.2%; 95% confidence interval, 41.1-49.5) were infested with Tunga penetrans. The prevalence was highest between the ages of 5 and 14 years, decreased in adults, and increased again in the elderly. There was no statistically significant difference between the prevalence in males and females (47.2% vs. 43.0%; P = 0.3). Almost 95% of lesions were localized on the feet. Ten per cent of individuals presented with sand fleas on the hands and elbows. The median parasite load was six (interquartile range, 3-16). Individuals aged 60 years or over had significantly more lesions (median of 41 lesions; P < 0.01). About one-third of the study participants found it difficult to walk; in 10% of cases, fissures were present. Superinfection was common. CONCLUSIONS: The prevalence of tungiasis and the parasite load were high, and the severity of the disease was considerable. The prevalence and parasite burden showed a characteristic distribution. In western Nigeria, tungiasis needs to be regarded as an important public health problem. SN - 0011-9059 UR - https://www.unboundmedicine.com/medline/citation/17472674/Tungiasis:_high_prevalence_parasite_load_and_morbidity_in_a_rural_community_in_Lagos_State_Nigeria_ L2 - https://doi.org/10.1111/j.1365-4632.2007.03245.x DB - PRIME DP - Unbound Medicine ER -