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    Rights statement: This is a pre-copy-editing, author-produced PDF of an article accepted for publication in International Health following peer review. The definitive publisher-authenticated version Samuel Wanji, Jonas A Kengne-Ouafo, Kebede Deribe, Ayok M Tembei, Abdel Jelil Njouendou, Dizzel Bita Tayong, David D Sofeu-Feugaing, Fabrice R Datchoua-Poutcheu, Jorge Cano, Emanuele Giorgi, Yolande F Longang-Tchounkeu, Peter A Enyong, Melanie J Newport, Gail Davey; Study of lymphoedema of non-filarial origin in the northwest region of Cameroon: spatial distribution, profiling of cases and socio-economic aspects of podoconiosis, International Health, Volume 10, Issue 4, 1 July 2018, Pages 285–293, https://doi.org/10.1093/inthealth/ihy028 is available online at: https://academic.oup.com/inthealth/article/10/4/285/4996566

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Study of lymphoedema of non-filarial origin in the northwest region of Cameroon: spatial distribution, profiling of cases and socio-economic aspects of podoconiosis

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Study of lymphoedema of non-filarial origin in the northwest region of Cameroon : spatial distribution, profiling of cases and socio-economic aspects of podoconiosis. / Wanji, Samuel; Kengne-Ouafo, Jonas A.; Deribe, Kebede; Tembei, Ayok M.; Njouendo, Abdel Jelil; Tayong, Dizzel Bita; Sofeu-Feugaing, David D.; Datchoua-Poutcheu, Fabrice R.; Cano, Jorge; Giorgi, Emanuele; Longang-Tchounkeu, Yolande F.; Enyong, Peter A. ; Newport, Melanie J.; Davey, Gail.

In: International Health, Vol. 10, No. 4, 07.2018, p. 285-293.

Research output: Contribution to journalJournal articlepeer-review

Harvard

Wanji, S, Kengne-Ouafo, JA, Deribe, K, Tembei, AM, Njouendo, AJ, Tayong, DB, Sofeu-Feugaing, DD, Datchoua-Poutcheu, FR, Cano, J, Giorgi, E, Longang-Tchounkeu, YF, Enyong, PA, Newport, MJ & Davey, G 2018, 'Study of lymphoedema of non-filarial origin in the northwest region of Cameroon: spatial distribution, profiling of cases and socio-economic aspects of podoconiosis', International Health, vol. 10, no. 4, pp. 285-293. https://doi.org/10.1093/inthealth/ihy028

APA

Wanji, S., Kengne-Ouafo, J. A., Deribe, K., Tembei, A. M., Njouendo, A. J., Tayong, D. B., Sofeu-Feugaing, D. D., Datchoua-Poutcheu, F. R., Cano, J., Giorgi, E., Longang-Tchounkeu, Y. F., Enyong, P. A., Newport, M. J., & Davey, G. (2018). Study of lymphoedema of non-filarial origin in the northwest region of Cameroon: spatial distribution, profiling of cases and socio-economic aspects of podoconiosis. International Health, 10(4), 285-293. https://doi.org/10.1093/inthealth/ihy028

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Wanji, Samuel ; Kengne-Ouafo, Jonas A. ; Deribe, Kebede ; Tembei, Ayok M. ; Njouendo, Abdel Jelil ; Tayong, Dizzel Bita ; Sofeu-Feugaing, David D. ; Datchoua-Poutcheu, Fabrice R. ; Cano, Jorge ; Giorgi, Emanuele ; Longang-Tchounkeu, Yolande F. ; Enyong, Peter A. ; Newport, Melanie J. ; Davey, Gail. / Study of lymphoedema of non-filarial origin in the northwest region of Cameroon : spatial distribution, profiling of cases and socio-economic aspects of podoconiosis. In: International Health. 2018 ; Vol. 10, No. 4. pp. 285-293.

Bibtex

@article{6d6567f99fa14a79afb98830470db491,
title = "Study of lymphoedema of non-filarial origin in the northwest region of Cameroon: spatial distribution, profiling of cases and socio-economic aspects of podoconiosis",
abstract = "Background Although podoconiosis is endemic in Cameroon, little is known about its epidemiology and spatial distribution. Methods This cross-sectional, population-based study enrolled all adults (≥15 y) residing in the districts of the northwest region of Cameroon for 10 or more years. Participants were interviewed and had a physical examination. The study outcomes were prevalence estimates of lymphoedema and podoconiosis. House-to-house screening was conducted by Community Health Implementers (CHIs). CHIs registered all individuals with lymphoedema and collected additional individual and household-related information. A panel of experts re-examined and validated all lymphoedema cases registered by CHIs. Results Of the 439 781 individuals registered, 214 195 were adults (≥15 y old) and had lived in the districts of the region for more than 10 y. A total of 2143 lymphoedema cases were identified by CHIs, giving a prevalence of lymphoedema of 1.0% (2143/214 195; 95% CI, 0.96–1.04). After review by experts, podoconiosis prevalence in the study area was 0.48% (1049/214 195; 95% CI, 0.46–0.52). The prevalence of podoconiosis varied by health district, from 0.16% in Oku to 1.92% in Bafut (p<0.05). A total of 374 patients were recruited by stratified random sampling from the validated CHIs{\textquoteright} register to assess the clinical features and socio-economic aspects of the disease. Patients reportedly were said to have first noticed swelling at an average age of 41.9±19.1 (range: 6–90 y). Most patients (86.1%; 315/366) complained of their legs suddenly becoming hot, red and painful. The majority (96.5%; 361/374) of the interviewees said they had worn shoes occasionally at some point in their life. The reported mean age at first shoe wearing was 14.2±10.1 (±SD,range 1–77 y). A high proportion (82.8%; 309/374) of the participants wore shoes at the time of interview. Of those wearing shoes, only 21.7% (67/309) were wearing protective shoes. Conclusion This study provides an insight into the geographical distribution and epidemiology of podoconiosis in the North West region of Cameroon, yet management is limited. Evidence-informed targeted interventions are needed to manage people with lymphoedema.",
keywords = "Cameroon, epidemiology, non-filarial lymphoedema, podoconiosis, spatial distribution",
author = "Samuel Wanji and Kengne-Ouafo, {Jonas A.} and Kebede Deribe and Tembei, {Ayok M.} and Njouendo, {Abdel Jelil} and Tayong, {Dizzel Bita} and Sofeu-Feugaing, {David D.} and Datchoua-Poutcheu, {Fabrice R.} and Jorge Cano and Emanuele Giorgi and Longang-Tchounkeu, {Yolande F.} and Enyong, {Peter A.} and Newport, {Melanie J.} and Gail Davey",
note = "This is a pre-copy-editing, author-produced PDF of an article accepted for publication in International Health following peer review. The definitive publisher-authenticated version Samuel Wanji, Jonas A Kengne-Ouafo, Kebede Deribe, Ayok M Tembei, Abdel Jelil Njouendou, Dizzel Bita Tayong, David D Sofeu-Feugaing, Fabrice R Datchoua-Poutcheu, Jorge Cano, Emanuele Giorgi, Yolande F Longang-Tchounkeu, Peter A Enyong, Melanie J Newport, Gail Davey; Study of lymphoedema of non-filarial origin in the northwest region of Cameroon: spatial distribution, profiling of cases and socio-economic aspects of podoconiosis, International Health, Volume 10, Issue 4, 1 July 2018, Pages 285–293, https://doi.org/10.1093/inthealth/ihy028 is available online at: https://academic.oup.com/inthealth/article/10/4/285/4996566",
year = "2018",
month = jul,
doi = "10.1093/inthealth/ihy028",
language = "English",
volume = "10",
pages = "285--293",
journal = "International Health",
issn = "1876-3413",
publisher = "Elsevier Limited",
number = "4",

}

RIS

TY - JOUR

T1 - Study of lymphoedema of non-filarial origin in the northwest region of Cameroon

T2 - spatial distribution, profiling of cases and socio-economic aspects of podoconiosis

AU - Wanji, Samuel

AU - Kengne-Ouafo, Jonas A.

AU - Deribe, Kebede

AU - Tembei, Ayok M.

AU - Njouendo, Abdel Jelil

AU - Tayong, Dizzel Bita

AU - Sofeu-Feugaing, David D.

AU - Datchoua-Poutcheu, Fabrice R.

AU - Cano, Jorge

AU - Giorgi, Emanuele

AU - Longang-Tchounkeu, Yolande F.

AU - Enyong, Peter A.

AU - Newport, Melanie J.

AU - Davey, Gail

N1 - This is a pre-copy-editing, author-produced PDF of an article accepted for publication in International Health following peer review. The definitive publisher-authenticated version Samuel Wanji, Jonas A Kengne-Ouafo, Kebede Deribe, Ayok M Tembei, Abdel Jelil Njouendou, Dizzel Bita Tayong, David D Sofeu-Feugaing, Fabrice R Datchoua-Poutcheu, Jorge Cano, Emanuele Giorgi, Yolande F Longang-Tchounkeu, Peter A Enyong, Melanie J Newport, Gail Davey; Study of lymphoedema of non-filarial origin in the northwest region of Cameroon: spatial distribution, profiling of cases and socio-economic aspects of podoconiosis, International Health, Volume 10, Issue 4, 1 July 2018, Pages 285–293, https://doi.org/10.1093/inthealth/ihy028 is available online at: https://academic.oup.com/inthealth/article/10/4/285/4996566

PY - 2018/7

Y1 - 2018/7

N2 - Background Although podoconiosis is endemic in Cameroon, little is known about its epidemiology and spatial distribution. Methods This cross-sectional, population-based study enrolled all adults (≥15 y) residing in the districts of the northwest region of Cameroon for 10 or more years. Participants were interviewed and had a physical examination. The study outcomes were prevalence estimates of lymphoedema and podoconiosis. House-to-house screening was conducted by Community Health Implementers (CHIs). CHIs registered all individuals with lymphoedema and collected additional individual and household-related information. A panel of experts re-examined and validated all lymphoedema cases registered by CHIs. Results Of the 439 781 individuals registered, 214 195 were adults (≥15 y old) and had lived in the districts of the region for more than 10 y. A total of 2143 lymphoedema cases were identified by CHIs, giving a prevalence of lymphoedema of 1.0% (2143/214 195; 95% CI, 0.96–1.04). After review by experts, podoconiosis prevalence in the study area was 0.48% (1049/214 195; 95% CI, 0.46–0.52). The prevalence of podoconiosis varied by health district, from 0.16% in Oku to 1.92% in Bafut (p<0.05). A total of 374 patients were recruited by stratified random sampling from the validated CHIs’ register to assess the clinical features and socio-economic aspects of the disease. Patients reportedly were said to have first noticed swelling at an average age of 41.9±19.1 (range: 6–90 y). Most patients (86.1%; 315/366) complained of their legs suddenly becoming hot, red and painful. The majority (96.5%; 361/374) of the interviewees said they had worn shoes occasionally at some point in their life. The reported mean age at first shoe wearing was 14.2±10.1 (±SD,range 1–77 y). A high proportion (82.8%; 309/374) of the participants wore shoes at the time of interview. Of those wearing shoes, only 21.7% (67/309) were wearing protective shoes. Conclusion This study provides an insight into the geographical distribution and epidemiology of podoconiosis in the North West region of Cameroon, yet management is limited. Evidence-informed targeted interventions are needed to manage people with lymphoedema.

AB - Background Although podoconiosis is endemic in Cameroon, little is known about its epidemiology and spatial distribution. Methods This cross-sectional, population-based study enrolled all adults (≥15 y) residing in the districts of the northwest region of Cameroon for 10 or more years. Participants were interviewed and had a physical examination. The study outcomes were prevalence estimates of lymphoedema and podoconiosis. House-to-house screening was conducted by Community Health Implementers (CHIs). CHIs registered all individuals with lymphoedema and collected additional individual and household-related information. A panel of experts re-examined and validated all lymphoedema cases registered by CHIs. Results Of the 439 781 individuals registered, 214 195 were adults (≥15 y old) and had lived in the districts of the region for more than 10 y. A total of 2143 lymphoedema cases were identified by CHIs, giving a prevalence of lymphoedema of 1.0% (2143/214 195; 95% CI, 0.96–1.04). After review by experts, podoconiosis prevalence in the study area was 0.48% (1049/214 195; 95% CI, 0.46–0.52). The prevalence of podoconiosis varied by health district, from 0.16% in Oku to 1.92% in Bafut (p<0.05). A total of 374 patients were recruited by stratified random sampling from the validated CHIs’ register to assess the clinical features and socio-economic aspects of the disease. Patients reportedly were said to have first noticed swelling at an average age of 41.9±19.1 (range: 6–90 y). Most patients (86.1%; 315/366) complained of their legs suddenly becoming hot, red and painful. The majority (96.5%; 361/374) of the interviewees said they had worn shoes occasionally at some point in their life. The reported mean age at first shoe wearing was 14.2±10.1 (±SD,range 1–77 y). A high proportion (82.8%; 309/374) of the participants wore shoes at the time of interview. Of those wearing shoes, only 21.7% (67/309) were wearing protective shoes. Conclusion This study provides an insight into the geographical distribution and epidemiology of podoconiosis in the North West region of Cameroon, yet management is limited. Evidence-informed targeted interventions are needed to manage people with lymphoedema.

KW - Cameroon, epidemiology

KW - non-filarial lymphoedema

KW - podoconiosis

KW - spatial distribution

U2 - 10.1093/inthealth/ihy028

DO - 10.1093/inthealth/ihy028

M3 - Journal article

VL - 10

SP - 285

EP - 293

JO - International Health

JF - International Health

SN - 1876-3413

IS - 4

ER -