Socio-environmental variables and transmission risk of lymphatic filariasis in central and northern Mozambique

Lymphatic filariasis (LF) is endemic in Mozambique, where it is caused by <em>Wuchereria bancrofti</em> with <em>Culex quinquefasciatus</em> as the main vector. It affects approximately 10% of the population (2 million) with about 16 million at risk. Prevalence rates in 40 ou...

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Main Authors: Isabel Manhenje, M. Teresa Galán-Puchades, Màrius V. Fuentes
Format: Article
Language:English
Published: PAGEPress Publications 2013-05-01
Series:Geospatial Health
Subjects:
Online Access:http://www.geospatialhealth.net/index.php/gh/article/view/96
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author Isabel Manhenje
M. Teresa Galán-Puchades
Màrius V. Fuentes
author_facet Isabel Manhenje
M. Teresa Galán-Puchades
Màrius V. Fuentes
author_sort Isabel Manhenje
collection DOAJ
description Lymphatic filariasis (LF) is endemic in Mozambique, where it is caused by <em>Wuchereria bancrofti</em> with <em>Culex quinquefasciatus</em> as the main vector. It affects approximately 10% of the population (2 million) with about 16 million at risk. Prevalence rates in 40 out of 65 districts that together comprise the four endemic provinces Niassa, Cabo Delgado, Nampula and Zambezia were analysed with the aim of elucidating the socio-environmental variables influencing the transmission. The levels of prevalence were divided into six ranks and certain climatic, environmental and social factors were considered independent variables. A climadiagram was created and the LF risk and the water budget-based index were calculated for each district. Factors influencing the risk of the overall transmission and that of the provincial levels were established by discriminant analysis. The results show that LF transmission increased with mean maximum temperature and decreased with altitude. The almost constant annual temperature (especially in the tropical area), altitude, general economic conditions and predominant crop production (rice) were found to be responsible for the abundance and presence of the vector. However, despite the presence of the vector in the hinterland, presence and survival of the parasite were not found to be favoured there. The transmission risk was found to be highest in Zambezia, and consequently also the prevalence, while the situation in Niassa was the opposite. The conclusion is that temperature, altitude and the development/poverty index (particularly in the urban areas) have to be considered as transmission risk factors for LF in Mozambique. The extent of rice culturing probably also plays a role with respect to this infection.
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spelling doaj.art-f29fc3e98c7f4c178a1621b4affbdb6c2022-12-21T20:31:48ZengPAGEPress PublicationsGeospatial Health1827-19871970-70962013-05-017239139810.4081/gh.2013.9696Socio-environmental variables and transmission risk of lymphatic filariasis in central and northern MozambiqueIsabel Manhenje0M. Teresa Galán-Puchades1Màrius V. Fuentes2Instituto Nacional de Salud, Ministerio da Saúde, Maputo, Republic of Mozambique; Departament de Parasitologia, Facultat de Farmàcia, Universitat de València, Burjassot-ValènciaDepartament de Parasitologia, Facultat de Farmàcia, Universitat de València, Burjassot-ValènciaDepartament de Parasitologia, Facultat de Farmàcia, Universitat de València, Burjassot-ValènciaLymphatic filariasis (LF) is endemic in Mozambique, where it is caused by <em>Wuchereria bancrofti</em> with <em>Culex quinquefasciatus</em> as the main vector. It affects approximately 10% of the population (2 million) with about 16 million at risk. Prevalence rates in 40 out of 65 districts that together comprise the four endemic provinces Niassa, Cabo Delgado, Nampula and Zambezia were analysed with the aim of elucidating the socio-environmental variables influencing the transmission. The levels of prevalence were divided into six ranks and certain climatic, environmental and social factors were considered independent variables. A climadiagram was created and the LF risk and the water budget-based index were calculated for each district. Factors influencing the risk of the overall transmission and that of the provincial levels were established by discriminant analysis. The results show that LF transmission increased with mean maximum temperature and decreased with altitude. The almost constant annual temperature (especially in the tropical area), altitude, general economic conditions and predominant crop production (rice) were found to be responsible for the abundance and presence of the vector. However, despite the presence of the vector in the hinterland, presence and survival of the parasite were not found to be favoured there. The transmission risk was found to be highest in Zambezia, and consequently also the prevalence, while the situation in Niassa was the opposite. The conclusion is that temperature, altitude and the development/poverty index (particularly in the urban areas) have to be considered as transmission risk factors for LF in Mozambique. The extent of rice culturing probably also plays a role with respect to this infection.http://www.geospatialhealth.net/index.php/gh/article/view/96lymphatic filariasis, socio-environmental variables, transmission risk, Mozambique.
spellingShingle Isabel Manhenje
M. Teresa Galán-Puchades
Màrius V. Fuentes
Socio-environmental variables and transmission risk of lymphatic filariasis in central and northern Mozambique
Geospatial Health
lymphatic filariasis, socio-environmental variables, transmission risk, Mozambique.
title Socio-environmental variables and transmission risk of lymphatic filariasis in central and northern Mozambique
title_full Socio-environmental variables and transmission risk of lymphatic filariasis in central and northern Mozambique
title_fullStr Socio-environmental variables and transmission risk of lymphatic filariasis in central and northern Mozambique
title_full_unstemmed Socio-environmental variables and transmission risk of lymphatic filariasis in central and northern Mozambique
title_short Socio-environmental variables and transmission risk of lymphatic filariasis in central and northern Mozambique
title_sort socio environmental variables and transmission risk of lymphatic filariasis in central and northern mozambique
topic lymphatic filariasis, socio-environmental variables, transmission risk, Mozambique.
url http://www.geospatialhealth.net/index.php/gh/article/view/96
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