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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/12544

Title: Influence of seasonal variation on reported filarial attacks among people living with lymphedema in Ghana
Authors: Kwarteng, Alexander
Arthur, Yarhands Dissou
Yamba, John Kanyiri
Sylverken, Augustina Angelina
Kini, Priscilla
et. al
Keywords: Lymphatic filariasis
Lymphedema
Adenolymphangitis
Ghana
Issue Date: 1-Dec-2019
Publisher: BioMed Central
Citation: Kwarteng et al. BMC Infectious Diseases. Influence of seasonal variation on reported filarial attacks among people living with lymphedema in Ghana. https://doi.org/10.1186/s12879-019-4084-2
Abstract: Background: Lymphatic Filariasis (LF) is a vector-borne neglected tropical disease caused by the filarial nematode parasites that can lead to the disfiguring swelling of the limbs (lymphedema or elephantiasis for late stage) and/or genitalia (hydrocele) in men. Growing evidence suggests that not only are filarial lymphedema patients confronted with huge societal stigma and discrimination, but also experience acute filarial attacks accompanied by swelling of the affected part(s), fever, wounds and peeling of the skin of affected limbs(s). However, the extent to which seasonal variation influence filarial attacks among people with lymphedema was highly speculated without empirical evidence and was thus investigated. Methods: In light of this, a cross-sectional study where 142 (70.4% females and 29.6% males) lymphedema patients were recruited from 8 established Wuchereria bancrofti endemic communities in the Ahanta West District, Ghana was carried out to investigate the prevalence and seasonal variation (rainy/wet and dry seasons) of acute filarial attacks. Chi-square test was used to test for association between frequency of attacks and seasonality. The STROBE guidelines for reporting cross-sectional studies was adopted. Results: The average lymphedema leg stage was 2.37 and 2.33 for left and right legs, respectively, while mossy lesions, sores and ulcers were observed among 33.1% of patients with late stage disease (elephantiasis). It was found that 97 (68.3%) of the study participants experience filarial attacks during the wet season and 36 (25.4%) reported the incidence of filarial attacks during both seasons (wet and dry) while 9 (6.3%) of the study participants did not experience any attack at all. Conclusions: Findings from the present study show compelling evidence that the frequency and the prevalence of filarial attacks is significantly increased during wet seasons compared to the dry season.
Description: An article published by BioMed Central and also available at doi.org/10.1186/s12879-019-4084-2
URI: http://hdl.handle.net/123456789/12544
Appears in Collections:College of Science

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