Imperial College London
Alternate

ProfessorMaria-GloriaBasanez

Faculty of Medicine, School of Public Health

Professor of Neglected Tropical Diseases
 
 
 
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Contact

 

+44 (0)20 7594 3295m.basanez Website

 
 
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Location

 

503School of Public HealthWhite City Campus

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Summary

 

Publications

Citation

BibTex format

@article{Otabil:2023:10.1186/s40249-023-01117-9,
author = {Otabil, KB and Ankrah, B and Bart-Plange, EJ and Donkoh, ES and Avarikame, FA and Ofori-Appiah, FO and Babae, TN and Kudzordzi, P-C and Darko, VA and Ameyaw, J and Bamfo, JG and Sakibu, RA and Antwi-Berko, D and Fodjo, JNS and Basáñez, M-G and Schallig, HDFH and Colebunders, R},
doi = {10.1186/s40249-023-01117-9},
journal = {Infectious Diseases of Poverty},
pages = {75--75},
title = {Prevalence of epilepsy in the onchocerciasis endemic middle belt of Ghana after 27 years of mass drug administration with ivermectin},
url = {http://dx.doi.org/10.1186/s40249-023-01117-9},
volume = {12},
year = {2023}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BACKGROUND: In onchocerciasis-endemic areas with high ongoing Onchocerca volvulus transmission, a high prevalence of epilepsy has been reported. This study aimed to determine the prevalence and clinical characteristics of epilepsy in the Bono Region of Ghana following 27 years of implementation of ivermectin mass drug administration (MDA). METHODS: Between October 2020 and August 2021, cross-sectional surveys were conducted in nine communities in the Tain District and Wenchi Municipality of the Bono Region of Ghana. In the first stage, a random door-to-door approach was used to screen the population for epilepsy using a pre-tested questionnaire. Persons suspected of having epilepsy were invited for a second-stage neurological examination for case verification. Community O. volvulus microfilarial infection status and Ov16 seropositivity were also determined. Ninety-five confidence intervals (95% CI) for prevalence values were calculated using the Wilson Score Interval. RESULTS: Of the 971 participants, 500 (51.5%) were females, and the median age (interquartile range) was 26 (1543) years. Fourteen participants (1.4%, 95% CI: 1.02.0) were diagnosed as having epilepsy with generalized seizures being the most frequent seizure type (85.7%, 12/14). The overall microfilarial prevalence of O. volvulus was 10.3% (November 2020) and 9.9% (August 2021); the Ov16 seroprevalence was 22.2% (June 2021). Only 63.2% took ivermectin in the last round of MDA distribution in March 2021. CONCLUSIONS: The 1.4% prevalence of epilepsy in the Bono region is similar to the median epilepsy prevalence in sub-Saharan Africa. However, the persistent microfilarial prevalence and low ivermectin study coverage call for the Ghana Onchocerciasis Elimination Programme to step up its efforts to ensure that the gains achieved are consolidated and improved to achieve the elimination of onchocerciasis by 2030.
AU  - Otabil,KB
AU  - Ankrah,B
AU  - Bart-Plange,EJ
AU  - Donkoh,ES
AU  - Avarikame,FA
AU  - Ofori-Appiah,FO
AU  - Babae,TN
AU  - Kudzordzi,P-C
AU  - Darko,VA
AU  - Ameyaw,J
AU  - Bamfo,JG
AU  - Sakibu,RA
AU  - Antwi-Berko,D
AU  - Fodjo,JNS
AU  - Basáñez,M-G
AU  - Schallig,HDFH
AU  - Colebunders,R
DO  - 10.1186/s40249-023-01117-9
EP  - 75
PY  - 2023///
SN  - 2049-9957
SP  - 75
TI  - Prevalence of epilepsy in the onchocerciasis endemic middle belt of Ghana after 27 years of mass drug administration with ivermectin
T2  - Infectious Diseases of Poverty
UR  - http://dx.doi.org/10.1186/s40249-023-01117-9
UR  - https://www.ncbi.nlm.nih.gov/pubmed/37587500
UR  - http://hdl.handle.net/10044/1/106212
VL  - 12
ER  -
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