Community based distribution of ivermectin in eastern Sudan : acceptability and early post-treatment reactions.
A study to monitor ivermectin acceptability and post-treatment reactions during mass community distribution was carried out in eastern Sudan, where severe reactive onchodermatitis is prevalent.
Of 1081 individuals eligible for treatment, 1076 (99.5%) accepted the ivermectin.
Post-treatment reactions were monitored by self reporting, 5 d after a single dose of about 150 mug/kg (range 103-200 mug/kg) ; 230 persons reported adverse events (21.4%). No reaction was rated as severe.
The most common problem was itching with cutaneous papular eruptions (16.2%). Local oedematous swelling was the second most common and the most slowly resolving complaint (5.4%), followed by musculoskeletal pain.
There was a high acceptance rate of the treatment and remarkable tolerance of the post-treatment effects, probably due to efforts made to prepare the community to expect reactions to ivermectin, widespread awareness of the beneficial effects of treatment by villagers who had participated in clinical trials previously, and the encouragement we gave to the population to become involved in improvement of their health care services.
We recommend that, during mass distribution of ivermectin, community involvement in planning overall health improvement should be included, since the treatment initiates the process well.
In areas where sowda syndrome is prevalent, medical surveillance for 3 d or more should be considered.
Mots-clés Pascal : Onchocercose, Filariose, Nématodose, Helminthiase, Parasitose, Infection, Chimiothérapie, Campagne de masse, Politique sanitaire, Stratégie, Distribution, Ivermectine, Antiparasitaire, Anthelminthique, Acceptation, Toxicité, Homme, Couverture, Efficacité, Peau pathologie, Oeil pathologie
Mots-clés Pascal anglais : Onchocerciasis, Filariosis, Nematod disease, Helminthiasis, Parasitosis, Infection, Chemotherapy, Mass campaign, Health policy, Strategy, Distribution, Ivermectin, Parasiticid, Anthelmintic, Acceptance, Toxicity, Human, Coverage, Efficiency, Skin disease, Eye disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0426337
Code Inist : 002B02S06. Création : 01/03/1996.