Residual transmission of schistosomiasis in Ndikinimeki Health District (Centre Region, Cameroon) despite implementation of complementary control strategies: Prospects for elimination

Schistosomiasis control currently relies on school-based preventive chemotherapy (PC) with praziquantel, which has been proven, unfortunately, insufficient to interrupt disease transmission in areas with persistent transmission. In the Ndikinimeki Health District (Centre Region, Cameroon), complemen...

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Main Authors: Hervé Kengne Fogang, Hugues C. Nana Djeunga, Alvine C. Kengne-Fokam, Murielle C. Tchami Mbagnia, Flobert Njiokou, Dickson S. Nsagha, Emmanuel Yenshu, Joseph Kamgno
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Language:English
Published: Elsevier 2025-02-01
Series:Parasite Epidemiology and Control
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Online Access:http://www.sciencedirect.com/science/article/pii/S2405673125000030
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author Hervé Kengne Fogang
Hugues C. Nana Djeunga
Alvine C. Kengne-Fokam
Murielle C. Tchami Mbagnia
Flobert Njiokou
Dickson S. Nsagha
Emmanuel Yenshu
Joseph Kamgno
author_facet Hervé Kengne Fogang
Hugues C. Nana Djeunga
Alvine C. Kengne-Fokam
Murielle C. Tchami Mbagnia
Flobert Njiokou
Dickson S. Nsagha
Emmanuel Yenshu
Joseph Kamgno
author_sort Hervé Kengne Fogang
collection DOAJ
description Schistosomiasis control currently relies on school-based preventive chemotherapy (PC) with praziquantel, which has been proven, unfortunately, insufficient to interrupt disease transmission in areas with persistent transmission. In the Ndikinimeki Health District (Centre Region, Cameroon), complementary strategies (community-based preventive chemotherapy, water sanitation, hygiene, and health education) have also been implemented to accelerate the interruption of schistosomiasis transmission in this focus. The assessment of the impact of this package of interventions revealed that only a few individuals were still infected with Schistosoma mansoni. This study, therefore, aimed to investigate whether schistosomiasis transmission has been interrupted in the Ndikinimeki Health District by assessing the infection among the population of snails, intermediate hosts of schistosomiasis. A cross-sectional malacological survey was conducted in four health areas of the Ndikinimeki Health District using a standardized technique. Collected snails were transported to the laboratory, where they were identified and exposed to sunlight for cercarial shedding. Overall, 350 snails intermediate hosts of schistosomes were collected in 32 sampling sites. A total of 330 (94.3 %) were identified as Biomphalaria pfeifferi and Biomphalaria camerunensis, and 20 (5.7 %) as Bulinus forskalii. Of the 154 snails that survived during 30 days of follow-up, 16 (10.4 %; 95 % CI: 6.5–16.2) shed cercariae, the infection rate being quite heterogeneous between snails' species and communities. This study revealed a residual transmission of schistosomiasis in the snail populations, emphasizing the need for snail control to complement current interventions and accelerate schistosomiasis transmission interruption.
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spelling doaj-art-aa8b25c76a9d4410b19a6aa62207ccce2025-02-06T05:12:31ZengElsevierParasite Epidemiology and Control2405-67312025-02-0128e00410Residual transmission of schistosomiasis in Ndikinimeki Health District (Centre Region, Cameroon) despite implementation of complementary control strategies: Prospects for eliminationHervé Kengne Fogang0Hugues C. Nana Djeunga1Alvine C. Kengne-Fokam2Murielle C. Tchami Mbagnia3Flobert Njiokou4Dickson S. Nsagha5Emmanuel Yenshu6Joseph Kamgno7Department of Public Health and Hygiene, Faculty of Health Sciences, University of Buea, Buea, Cameroon; Higher Institute for Scientific and Medical Research (ISM), Yaoundé, Cameroon; Corresponding authors at: Higher Institute for Scientific and Medical Research (ISM), Yaoundé, Cameroon.Higher Institute for Scientific and Medical Research (ISM), Yaoundé, Cameroon; Corresponding authors at: Higher Institute for Scientific and Medical Research (ISM), Yaoundé, Cameroon.Parasitology and Ecology Laboratory, Department of Animal Biology and Physiology, Faculty of Science, University of Yaoundé I, Yaoundé, CameroonParasitology and Ecology Laboratory, Department of Animal Biology and Physiology, Faculty of Science, University of Yaoundé I, Yaoundé, CameroonParasitology and Ecology Laboratory, Department of Animal Biology and Physiology, Faculty of Science, University of Yaoundé I, Yaoundé, CameroonDepartment of Public Health and Hygiene, Faculty of Health Sciences, University of Buea, Buea, CameroonDepartement of Sociology and Anthropology, Faculty of Social Science and Management, University of Buea, Buea, CameroonHigher Institute for Scientific and Medical Research (ISM), Yaoundé, Cameroon; Department of Public Health, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, CameroonSchistosomiasis control currently relies on school-based preventive chemotherapy (PC) with praziquantel, which has been proven, unfortunately, insufficient to interrupt disease transmission in areas with persistent transmission. In the Ndikinimeki Health District (Centre Region, Cameroon), complementary strategies (community-based preventive chemotherapy, water sanitation, hygiene, and health education) have also been implemented to accelerate the interruption of schistosomiasis transmission in this focus. The assessment of the impact of this package of interventions revealed that only a few individuals were still infected with Schistosoma mansoni. This study, therefore, aimed to investigate whether schistosomiasis transmission has been interrupted in the Ndikinimeki Health District by assessing the infection among the population of snails, intermediate hosts of schistosomiasis. A cross-sectional malacological survey was conducted in four health areas of the Ndikinimeki Health District using a standardized technique. Collected snails were transported to the laboratory, where they were identified and exposed to sunlight for cercarial shedding. Overall, 350 snails intermediate hosts of schistosomes were collected in 32 sampling sites. A total of 330 (94.3 %) were identified as Biomphalaria pfeifferi and Biomphalaria camerunensis, and 20 (5.7 %) as Bulinus forskalii. Of the 154 snails that survived during 30 days of follow-up, 16 (10.4 %; 95 % CI: 6.5–16.2) shed cercariae, the infection rate being quite heterogeneous between snails' species and communities. This study revealed a residual transmission of schistosomiasis in the snail populations, emphasizing the need for snail control to complement current interventions and accelerate schistosomiasis transmission interruption.http://www.sciencedirect.com/science/article/pii/S2405673125000030Malacological surveyBiomphalaria pfeifferiBiomphalaria camerunensisBulinus forskaliiSchistosoma mansoniNdikinimeki Health District
spellingShingle Hervé Kengne Fogang
Hugues C. Nana Djeunga
Alvine C. Kengne-Fokam
Murielle C. Tchami Mbagnia
Flobert Njiokou
Dickson S. Nsagha
Emmanuel Yenshu
Joseph Kamgno
Residual transmission of schistosomiasis in Ndikinimeki Health District (Centre Region, Cameroon) despite implementation of complementary control strategies: Prospects for elimination
Parasite Epidemiology and Control
Malacological survey
Biomphalaria pfeifferi
Biomphalaria camerunensis
Bulinus forskalii
Schistosoma mansoni
Ndikinimeki Health District
title Residual transmission of schistosomiasis in Ndikinimeki Health District (Centre Region, Cameroon) despite implementation of complementary control strategies: Prospects for elimination
title_full Residual transmission of schistosomiasis in Ndikinimeki Health District (Centre Region, Cameroon) despite implementation of complementary control strategies: Prospects for elimination
title_fullStr Residual transmission of schistosomiasis in Ndikinimeki Health District (Centre Region, Cameroon) despite implementation of complementary control strategies: Prospects for elimination
title_full_unstemmed Residual transmission of schistosomiasis in Ndikinimeki Health District (Centre Region, Cameroon) despite implementation of complementary control strategies: Prospects for elimination
title_short Residual transmission of schistosomiasis in Ndikinimeki Health District (Centre Region, Cameroon) despite implementation of complementary control strategies: Prospects for elimination
title_sort residual transmission of schistosomiasis in ndikinimeki health district centre region cameroon despite implementation of complementary control strategies prospects for elimination
topic Malacological survey
Biomphalaria pfeifferi
Biomphalaria camerunensis
Bulinus forskalii
Schistosoma mansoni
Ndikinimeki Health District
url http://www.sciencedirect.com/science/article/pii/S2405673125000030
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