risk factors for tungiasis in nigeria identification of targets for effective interventiontungiasis在尼日利亚的风险因素的识别目标有效的干预.pdfVIP

Risk Factors for Tungiasis in Nigeria: Identification of Targets for Effective Intervention 1 2 3 ¨ 2,4 Uade Samuel Ugbomoiko , Liana Ariza , Ifeanyi Emmanuel Ofoezie , Jorg Heukelbach * ´ 1 Department of Zoology, University of Ilorin, Ilorin, Nigeria, 2 Department of Community Health, School of Medicine, Federal University of Ceara, Fortaleza, Brazil, 3 Department of Zoology, University of Nigeria, Nsukka, Nigeria, 4 School of Public Health, Tropical Medicine and Rehabilitation Sciences, James Cook University, Townsville, Australia Abstract Background: The parasitic skin disease tungiasis (caused by the flea Tunga penetrans) affects resource-poor communities in Latin America, the Caribbean and sub-Saharan Africa. Prevalences in endemic areas are high, and severe pathology occurs commonly. However, risk factors for infestation have never been assessed in Africa. Methods and Findings: A cross-sectional study was conducted in Erekiti, a rural community in Lagos State (Nigeria), where tungiasis is endemic. Individuals were examined clinically for the presence of tungiasis, and a questionnaire was applied. Data from 643 individuals (86.6% of the target population) were analyzed; 252 (42.5%) were infested with T. penetrans. In the multivariate logistic regression analysis, presence of pigs on the compounds (adjusted odds ratio = 17.98; 95% confidence interval: 5.55–58.23), sand or clay floor inside houses (9.33; 5.06–17.19), and having the common resting place outside the house (7.14; 4.0–14.29)