Parkinson’s Disease in Sub-Saharan Africa: A Review of Epidemiology, Genetics and Access to Care

A low prevalence of Parkinson’s disease (PD) has been reported in the Sub-Saharan Africa (SSA) region. The genetic causes and clinical features of PD in this region have been poorly described. Very few reports have examined the availability and access to evidence-based quality care for people living...

Full description

Bibliographic Details
Main Authors: Uduak Williams, Oliver Bandmann, Richard Walker
Format: Article
Language:English
Published: Korean Movement Disorder Society 2018-05-01
Series:Journal of Movement Disorders
Subjects:
Online Access:http://www.e-jmd.org/upload/jmd-17028.pdf
_version_ 1797710778227228672
author Uduak Williams
Oliver Bandmann
Richard Walker
author_facet Uduak Williams
Oliver Bandmann
Richard Walker
author_sort Uduak Williams
collection DOAJ
description A low prevalence of Parkinson’s disease (PD) has been reported in the Sub-Saharan Africa (SSA) region. The genetic causes and clinical features of PD in this region have been poorly described. Very few reports have examined the availability and access to evidence-based quality care for people living with PD in this region. We reviewed all publications focusing on idiopathic PD from SSA published up to May 2016 and observed a prevalence of PD ranging from 7/100,000 in Ethiopia to 67/100,000 in Nigeria. The most recent community-based study reported a mean age at onset of 69.4 years. The infrequent occurrence of mutations in established PD genes was also observed in the region. Treatments were non-existent or at best irregular. Additionally, there is a lack of well-trained medical personnel and multidisciplinary teams in most countries in this region. Drugs for treating PD are either not available or unaffordable. Large-scale genetic and epidemiological studies are therefore needed in SSA to provide further insights into the roles of genetics and other etiological factors in the pathogenesis of PD. The quality of care also requires urgent improvement to meet the basic level of care required by PD patients.
first_indexed 2024-03-12T06:57:12Z
format Article
id doaj.art-874701bba7994460a7e96f1bf0db9f9e
institution Directory Open Access Journal
issn 2005-940X
2093-4939
language English
last_indexed 2024-03-12T06:57:12Z
publishDate 2018-05-01
publisher Korean Movement Disorder Society
record_format Article
series Journal of Movement Disorders
spelling doaj.art-874701bba7994460a7e96f1bf0db9f9e2023-09-02T23:58:52ZengKorean Movement Disorder SocietyJournal of Movement Disorders2005-940X2093-49392018-05-01112536410.14802/jmd.17028212Parkinson’s Disease in Sub-Saharan Africa: A Review of Epidemiology, Genetics and Access to CareUduak Williams0Oliver Bandmann1Richard Walker2 Neurology Unit, Internal Medicine Department, University of Calabar Teaching Hospital, Calabar, Nigeria Department of Neuroscience, Sheffield Institute for Translational Neuroscience (SITraN), University of Sheffield, Sheffield, UK Department of Elderly Medicine, North Tyneside General Hospital, Newcastle, UKA low prevalence of Parkinson’s disease (PD) has been reported in the Sub-Saharan Africa (SSA) region. The genetic causes and clinical features of PD in this region have been poorly described. Very few reports have examined the availability and access to evidence-based quality care for people living with PD in this region. We reviewed all publications focusing on idiopathic PD from SSA published up to May 2016 and observed a prevalence of PD ranging from 7/100,000 in Ethiopia to 67/100,000 in Nigeria. The most recent community-based study reported a mean age at onset of 69.4 years. The infrequent occurrence of mutations in established PD genes was also observed in the region. Treatments were non-existent or at best irregular. Additionally, there is a lack of well-trained medical personnel and multidisciplinary teams in most countries in this region. Drugs for treating PD are either not available or unaffordable. Large-scale genetic and epidemiological studies are therefore needed in SSA to provide further insights into the roles of genetics and other etiological factors in the pathogenesis of PD. The quality of care also requires urgent improvement to meet the basic level of care required by PD patients.http://www.e-jmd.org/upload/jmd-17028.pdfParkinson’s diseaseSub-Saharan Africageneticsepidemiologyaccess to care.
spellingShingle Uduak Williams
Oliver Bandmann
Richard Walker
Parkinson’s Disease in Sub-Saharan Africa: A Review of Epidemiology, Genetics and Access to Care
Journal of Movement Disorders
Parkinson’s disease
Sub-Saharan Africa
genetics
epidemiology
access to care.
title Parkinson’s Disease in Sub-Saharan Africa: A Review of Epidemiology, Genetics and Access to Care
title_full Parkinson’s Disease in Sub-Saharan Africa: A Review of Epidemiology, Genetics and Access to Care
title_fullStr Parkinson’s Disease in Sub-Saharan Africa: A Review of Epidemiology, Genetics and Access to Care
title_full_unstemmed Parkinson’s Disease in Sub-Saharan Africa: A Review of Epidemiology, Genetics and Access to Care
title_short Parkinson’s Disease in Sub-Saharan Africa: A Review of Epidemiology, Genetics and Access to Care
title_sort parkinson s disease in sub saharan africa a review of epidemiology genetics and access to care
topic Parkinson’s disease
Sub-Saharan Africa
genetics
epidemiology
access to care.
url http://www.e-jmd.org/upload/jmd-17028.pdf
work_keys_str_mv AT uduakwilliams parkinsonsdiseaseinsubsaharanafricaareviewofepidemiologygeneticsandaccesstocare
AT oliverbandmann parkinsonsdiseaseinsubsaharanafricaareviewofepidemiologygeneticsandaccesstocare
AT richardwalker parkinsonsdiseaseinsubsaharanafricaareviewofepidemiologygeneticsandaccesstocare