Toward the elimination of NTDs: application of cost-effective and sensitive molecular environmental surveillance tools—a pilot study

Neglected tropical diseases (NTDs) affect over a billion people worldwide. The 2021–2030 NTD road map calls for innovative and highly efficient interventions to eliminate or significantly reduce the burden of NTDs. These include sensitive and cost-effective diagnostic techniques for disease surveill...

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Main Authors: Juliet Hodgson, Gideon Twieku, Gerard Quarcoo, Emmanuel Armah, Mike Yaw Osei-Atweneboana, Samuel Armoo
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-03-01
Series:Frontiers in Parasitology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpara.2024.1340161/full
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author Juliet Hodgson
Gideon Twieku
Gideon Twieku
Gerard Quarcoo
Emmanuel Armah
Mike Yaw Osei-Atweneboana
Samuel Armoo
author_facet Juliet Hodgson
Gideon Twieku
Gideon Twieku
Gerard Quarcoo
Emmanuel Armah
Mike Yaw Osei-Atweneboana
Samuel Armoo
author_sort Juliet Hodgson
collection DOAJ
description Neglected tropical diseases (NTDs) affect over a billion people worldwide. The 2021–2030 NTD road map calls for innovative and highly efficient interventions to eliminate or significantly reduce the burden of NTDs. These include sensitive and cost-effective diagnostic techniques for disease surveillance. Environmental surveillance has been employed effectively in this regard to measure and track infectious diseases such as polio on a population-wide scale. In this study, environmental surveillance was used as a cost-effective tool for the detection of soil-transmitted helminths (STHs) in Accra, Ghana, in an area that is populated by urban vegetable farmers. The activities of urban farmers expose them to the risk of STH infection, as well as impact the transmission in urban areas since leafy vegetables could carry infective stages of STHs. A total of 32 wastewater samples were collected from eight points on the Nima Creek (the main source of irrigation for the farmers) over a 7-week period. Real-time PCR and melt peak analysis were used to screen four STHs (i.e., Ascaris lumbricoides, Necator americanus, Ancylostoma duodenale, and Trichuris trichiura). This study revealed that A. lumbricoides (17 out of 32 wastewater samples, 53.3%) was the most prevalent STH, followed by A. duodenale (31.2%), T. trichiura (21.9%), and N. americanus (12.5%). Environmental surveillance helps in the detection of the types of STH pathogens circulating within the community and in the design of mass drug administration (MDA) strategies. This surveillance technique can also provide preliminary information for environmental modifications to help reduce STH transmission in line with the One Health approach recommended in the 2021–2030 NTD road map.
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spelling doaj.art-2ee0e87328664b2d9e84bdbcbfee2acb2024-03-27T14:51:53ZengFrontiers Media S.A.Frontiers in Parasitology2813-24242024-03-01310.3389/fpara.2024.13401611340161Toward the elimination of NTDs: application of cost-effective and sensitive molecular environmental surveillance tools—a pilot studyJuliet Hodgson0Gideon Twieku1Gideon Twieku2Gerard Quarcoo3Emmanuel Armah4Mike Yaw Osei-Atweneboana5Samuel Armoo6Biomedical and Public Health Research Unit, Council for Scientific and Industrial Research -Water Research Institute, Accra, GhanaBiomedical and Public Health Research Unit, Council for Scientific and Industrial Research -Water Research Institute, Accra, GhanaDepartment of Molecular Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaBiomedical and Public Health Research Unit, Council for Scientific and Industrial Research -Water Research Institute, Accra, GhanaBiomedical and Public Health Research Unit, Council for Scientific and Industrial Research -Water Research Institute, Accra, GhanaBiomedical and Public Health Research Unit, Council for Scientific and Industrial Research -Water Research Institute, Accra, GhanaBiomedical and Public Health Research Unit, Council for Scientific and Industrial Research -Water Research Institute, Accra, GhanaNeglected tropical diseases (NTDs) affect over a billion people worldwide. The 2021–2030 NTD road map calls for innovative and highly efficient interventions to eliminate or significantly reduce the burden of NTDs. These include sensitive and cost-effective diagnostic techniques for disease surveillance. Environmental surveillance has been employed effectively in this regard to measure and track infectious diseases such as polio on a population-wide scale. In this study, environmental surveillance was used as a cost-effective tool for the detection of soil-transmitted helminths (STHs) in Accra, Ghana, in an area that is populated by urban vegetable farmers. The activities of urban farmers expose them to the risk of STH infection, as well as impact the transmission in urban areas since leafy vegetables could carry infective stages of STHs. A total of 32 wastewater samples were collected from eight points on the Nima Creek (the main source of irrigation for the farmers) over a 7-week period. Real-time PCR and melt peak analysis were used to screen four STHs (i.e., Ascaris lumbricoides, Necator americanus, Ancylostoma duodenale, and Trichuris trichiura). This study revealed that A. lumbricoides (17 out of 32 wastewater samples, 53.3%) was the most prevalent STH, followed by A. duodenale (31.2%), T. trichiura (21.9%), and N. americanus (12.5%). Environmental surveillance helps in the detection of the types of STH pathogens circulating within the community and in the design of mass drug administration (MDA) strategies. This surveillance technique can also provide preliminary information for environmental modifications to help reduce STH transmission in line with the One Health approach recommended in the 2021–2030 NTD road map.https://www.frontiersin.org/articles/10.3389/fpara.2024.1340161/fullmolecular detectionurban farmswastewaterenvironmental surveillancesoil-transmitted helminths
spellingShingle Juliet Hodgson
Gideon Twieku
Gideon Twieku
Gerard Quarcoo
Emmanuel Armah
Mike Yaw Osei-Atweneboana
Samuel Armoo
Toward the elimination of NTDs: application of cost-effective and sensitive molecular environmental surveillance tools—a pilot study
Frontiers in Parasitology
molecular detection
urban farms
wastewater
environmental surveillance
soil-transmitted helminths
title Toward the elimination of NTDs: application of cost-effective and sensitive molecular environmental surveillance tools—a pilot study
title_full Toward the elimination of NTDs: application of cost-effective and sensitive molecular environmental surveillance tools—a pilot study
title_fullStr Toward the elimination of NTDs: application of cost-effective and sensitive molecular environmental surveillance tools—a pilot study
title_full_unstemmed Toward the elimination of NTDs: application of cost-effective and sensitive molecular environmental surveillance tools—a pilot study
title_short Toward the elimination of NTDs: application of cost-effective and sensitive molecular environmental surveillance tools—a pilot study
title_sort toward the elimination of ntds application of cost effective and sensitive molecular environmental surveillance tools a pilot study
topic molecular detection
urban farms
wastewater
environmental surveillance
soil-transmitted helminths
url https://www.frontiersin.org/articles/10.3389/fpara.2024.1340161/full
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