Malaria screening at the workplace in Cameroon
Malaria remains a major health problem in Cameroon; It accounts for 38% of consultations, 24% of deaths and 36.8% of absenteeism in the country. The negative economic impact of malaria has encouraged a new control approach targeting companies. In this regard, a cross sectional study was conducted fr...
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Published in | PloS one Vol. 14; no. 12; p. e0225219 |
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Main Authors | , , , , , , , , , , , |
Format | Journal Article |
Language | English |
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Public Library of Science
10.12.2019
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Abstract | Malaria remains a major health problem in Cameroon; It accounts for 38% of consultations, 24% of deaths and 36.8% of absenteeism in the country. The negative economic impact of malaria has encouraged a new control approach targeting companies. In this regard, a cross sectional study was conducted from February 2015 to June 2017 in 14 companies in the town of Douala. This study aimed at determining the prevalence, control practices of employees and identifying associated factors with malaria. A total of 2705 workers were interviewed and systematically screened for malaria using LED fluorescence microscopy (CyScope®). All positive cases were given a malaria treatment. The prevalence of malaria and asymptomatic malaria was 30.1% and 28.9% respectively; asymptomatic malaria accounted for 95.7% of all positive diagnostic test. Malaria infection was significantly higher in employees aged 36-60 years (30.5%) and having completed primary studies (36%). ITNs ownership and utilization were 86.36% and 77.23% respectively. The risk for malaria infection has significantly decreased with age and educational level while the employees' level of education and size of households were significantly associated with the regular utilization of ITNs. This is the first study assessing malaria prevalence and risk factors in workplace in Cameroon and using a novel diagnostic tool. This study outlines a high prevalence of malaria infection, especially asymptomatic carriage, high rates of ITNs ownership and utilization, as well as the influence of level of education, age and household size as associated factors. Active case detection of asymptomatic carriers through systematic screening of employees at workplace and their treatment is feasible with the Cyscope microscope and could be a good complement to ongoing control strategies. |
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AbstractList | Malaria remains a major health problem in Cameroon; It accounts for 38% of consultations, 24% of deaths and 36.8% of absenteeism in the country. The negative economic impact of malaria has encouraged a new control approach targeting companies. In this regard, a cross sectional study was conducted from February 2015 to June 2017 in 14 companies in the town of Douala. This study aimed at determining the prevalence, control practices of employees and identifying associated factors with malaria. A total of 2705 workers were interviewed and systematically screened for malaria using LED fluorescence microscopy (CyScope®). All positive cases were given a malaria treatment. The prevalence of malaria and asymptomatic malaria was 30.1% and 28.9% respectively; asymptomatic malaria accounted for 95.7% of all positive diagnostic test. Malaria infection was significantly higher in employees aged 36-60 years (30.5%) and having completed primary studies (36%). ITNs ownership and utilization were 86.36% and 77.23% respectively. The risk for malaria infection has significantly decreased with age and educational level while the employees' level of education and size of households were significantly associated with the regular utilization of ITNs. This is the first study assessing malaria prevalence and risk factors in workplace in Cameroon and using a novel diagnostic tool. This study outlines a high prevalence of malaria infection, especially asymptomatic carriage, high rates of ITNs ownership and utilization, as well as the influence of level of education, age and household size as associated factors. Active case detection of asymptomatic carriers through systematic screening of employees at workplace and their treatment is feasible with the Cyscope microscope and could be a good complement to ongoing control strategies. |
Audience | Academic |
Author | Mbohou, Christian Nchetnkou Mbe, Alex Joel Koumbo Nyabeyeu, Hervé Nyabeyeu Mbou, Isabelle Matip Tonga, Calvin Nolla, Nicolas Policarpe Kangam, Lafortune Ngo Hondt, Etoile Odette Bunda, Godlove Wepnje Nono, Larissa Kouodjip Lehman, Leopold Gustave Foko, Loick Pradel Kojom |
AuthorAffiliation | 5 Faculty of Medicine and Pharmaceutical Sciences, The University of Douala, Douala, Cameroon 3 Department of Zoology and Animal Physiology, Faculty of Science, University of Buea, Buea, Cameroon Academic Medical Centre, NETHERLANDS 2 Department of Animal Biology, Faculty of Science, University of Yaoundé I, Douala, Cameroon 4 Department of Biochemistry, Faculty of Science, The University of Douala, Douala, Cameroon 1 Parasitology and Entomology Research Unit, Department of Animal Biology, Faculty of Science, The University of Douala, Douala, Cameroon |
AuthorAffiliation_xml | – name: 4 Department of Biochemistry, Faculty of Science, The University of Douala, Douala, Cameroon – name: Academic Medical Centre, NETHERLANDS – name: 1 Parasitology and Entomology Research Unit, Department of Animal Biology, Faculty of Science, The University of Douala, Douala, Cameroon – name: 3 Department of Zoology and Animal Physiology, Faculty of Science, University of Buea, Buea, Cameroon – name: 5 Faculty of Medicine and Pharmaceutical Sciences, The University of Douala, Douala, Cameroon – name: 2 Department of Animal Biology, Faculty of Science, University of Yaoundé I, Douala, Cameroon |
Author_xml | – sequence: 1 givenname: Christian Nchetnkou orcidid: 0000-0002-8063-7815 surname: Mbohou fullname: Mbohou, Christian Nchetnkou organization: Parasitology and Entomology Research Unit, Department of Animal Biology, Faculty of Science, The University of Douala, Douala, Cameroon – sequence: 2 givenname: Loick Pradel Kojom surname: Foko fullname: Foko, Loick Pradel Kojom organization: Parasitology and Entomology Research Unit, Department of Animal Biology, Faculty of Science, The University of Douala, Douala, Cameroon – sequence: 3 givenname: Hervé Nyabeyeu surname: Nyabeyeu fullname: Nyabeyeu, Hervé Nyabeyeu organization: Parasitology and Entomology Research Unit, Department of Animal Biology, Faculty of Science, The University of Douala, Douala, Cameroon – sequence: 4 givenname: Calvin surname: Tonga fullname: Tonga, Calvin organization: Parasitology and Entomology Research Unit, Department of Animal Biology, Faculty of Science, The University of Douala, Douala, Cameroon – sequence: 5 givenname: Larissa Kouodjip surname: Nono fullname: Nono, Larissa Kouodjip organization: Department of Animal Biology, Faculty of Science, University of Yaoundé I, Douala, Cameroon – sequence: 6 givenname: Lafortune surname: Kangam fullname: Kangam, Lafortune organization: Department of Animal Biology, Faculty of Science, University of Yaoundé I, Douala, Cameroon – sequence: 7 givenname: Godlove Wepnje surname: Bunda fullname: Bunda, Godlove Wepnje organization: Department of Zoology and Animal Physiology, Faculty of Science, University of Buea, Buea, Cameroon – sequence: 8 givenname: Isabelle Matip surname: Mbou fullname: Mbou, Isabelle Matip organization: Department of Animal Biology, Faculty of Science, University of Yaoundé I, Douala, Cameroon – sequence: 9 givenname: Etoile Odette surname: Ngo Hondt fullname: Ngo Hondt, Etoile Odette organization: Parasitology and Entomology Research Unit, Department of Animal Biology, Faculty of Science, The University of Douala, Douala, Cameroon – sequence: 10 givenname: Alex Joel Koumbo surname: Mbe fullname: Mbe, Alex Joel Koumbo organization: Parasitology and Entomology Research Unit, Department of Animal Biology, Faculty of Science, The University of Douala, Douala, Cameroon – sequence: 11 givenname: Nicolas Policarpe surname: Nolla fullname: Nolla, Nicolas Policarpe organization: Department of Biochemistry, Faculty of Science, The University of Douala, Douala, Cameroon – sequence: 12 givenname: Leopold Gustave surname: Lehman fullname: Lehman, Leopold Gustave organization: Faculty of Medicine and Pharmaceutical Sciences, The University of Douala, Douala, Cameroon |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31821328$$D View this record in MEDLINE/PubMed |
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Copyright | COPYRIGHT 2019 Public Library of Science 2019 Mbohou et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. 2019 Mbohou et al 2019 Mbohou et al |
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Title | Malaria screening at the workplace in Cameroon |
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