t- AND ENT

(1)

RAPID

EPIDEAATOLOGTCAL

MAPPING OF ONCHOCERCIAST5

(REMO) AND ^RAPID ^ASSESSI ENT ^PROCEDURE

^FOR

LOrASrs ^(RAPLOA) IN ^SOUTHERN ^CAI ^EROON, ^AUGIIST t-

19,2009

MISSION ^REPORT

FOR

woRLD HEALTH ORGANTZATTON (WHO) AFRTCAN PROGRAMME FOR ONCHOCERCIA5I5 ^CONTROL

(APOC) OUAGADOUGOU, ^BURKTNA FASO

BY

WHO/ ^APOC Temporory odvisers:

1. Prof. B. E. B. Nwoke, fmo stote University Owerri, Nigerio bebndie@yohoo.com

?.Prof Somuel Wonji, University of Bueo, Comeroon swonji@yohoo.fr 3. Dr Tendongfor. Nicholos, University of Bueo, Comeroon

ntendongf or@yohoo.com

4. Odome Asiedu, Progromme Officer, NTD Control Progromme, Ghona odome-114@yohoo,com

(2)

RAPID

EPIDE,IATOLOGTCAL

MAPPING OF ONCHOCERCIASIS

(REMO) AND ^RAPrD ^ASSESSI ENT ^PROCEDURE

^FOR

LOIASI5 ^(RAPLOA) IN ^SOUTHERN ^CA,l EROON, AUGUST 1- 19, ²⁰⁰⁹

MISSION ^REPORT

FOR

woRLD HEALTH OPGANTZATTON (WHO) AFRTCAN PROGRAMME FOR ONCHOCERCIA5I5 ^CONTROL

(APOC) OUAGADOUGOU, ^BURKTNA FASO

BY

WHO/ ^APOC Temporory odvisers:

1. Prof. B. E. B. Nwoke, fmo stote University Owerri, Nigerio bebndie@yohoo.com

?.Prof Somuel Wonji, University of Bueo, Cqmeroon swonji@yohoo.f r 3. Dr Tendongfor. Nicholos, University of Bueo, Comeroon

ntendongf or@yohoo.com

4. Odome Asiedu, Progromme Officer, NTD Control Progromme, Ghona odome-l14@yahoo,com

(3)

OF

WORK

2.0 MATERIALS AND METHOD 3.0 RE5ULT5

4.0

REFERENCES

5.0 ACKNOWLEDGEMENT 6.0 APPENDIX

6.1

Mission octivity

6.2

REMO ond RAPLOA

results of Southern

^Region Cameroon,

August

?OO9

(4)

1.0 ^OBJECTIVE oF ^{THE ,l} IssIoN

By

the letter

(!/PEP,/APOC/O362/09)

of Dr

^Uche

V.

Amozigo, Director

APOC

of

July 20,2009, the ^scopeof our work wos:

(o) In

cotlqborotion

with the

Notionol Onchocerciosis Control Progromme

of

^Cameroon,^orgonize^thevotidotion

of

^REA^ond^RAPLOA^resultsⁱⁿ

the

districts of

Kribi, Mvongon, Lolodorf ond Ebolowo on South Region

of

Comeroon;

(b) To select the

villoges where REA ond RAPLOA

survey ore to

^be

conducted;

(c)

Porticipote ond supervise the field ^survey

(d)

Prepar:e ond submit

to

^APO

C

Manogernent

o

technicol

report of

the volidotion Exercise

2.0

,1

ETHOD

. REA

exercise

wqs

conducted using

the WHO

recommended ^Ropid Epidemiologicol

Mapping of

Onchocerciosis

(REMO) procedure of Ngor^o, & ^wqlsh ⁽¹⁹⁹³⁾ ond w{o (1998) except thot

^the

topogrophicol mops wete not complete

for the

Region, ond os such other ovoilqble moPs we?e used. Agoin, ^becouse

of the settlement pottern

ⁱⁿ

the forested

region ond working

with

^RAPLOA^teom

qt _the

some time, house

to

house selection

of

^eligiblevillogers were odopted in most ^coses.

At

the

District

office, some

of

the

District

^Heqlth

Officers

substituted the selected villoges

for

REA/RAPLOA with new ones.

The WHO opproved guideline

for

Ropid Assessment

of

Loa Loa (RAPLOA)

(wHo, loot:

^?oo?)^ond

^{wonji et}

ol (2005) were completely odopted

for the

RAPLOA exercise, except ogoin,

thot the

complete topogrophicol mops werenot ovoilqble, ond os such

other

moPs were ^used.

a

3.0 RE5ULT5 AND DI5CUSSION

Toble 1

Summory

of

^RapidEpidemiologicol Mopping

of

Onchocerciosis (REMO) ond Ropid Assessment Procedure

for

Loiosis (RAPLOA) in Southern Comeroon, August

t't9,

^?0O9

(5)

s/N ^Nomcof Villogc

(H/s,

PO P

IJT ^LONG ^Namc

rivcr

(m/D"

of ^Nb cxomin ed for

nodule

% nodule

ratc

Nb intavic

wed for

RAPLO A

a_lo histor?

of

^qyl

worm

,1AVAN6AN

DI5TRICT

I N60N(H) 2.68045 11.66324 Nskone Cr) 43 4.65 80 80.@

2 ,AINKUTAU(H) 2.39835 t[.96167 ^Atbuo(t) ⁵⁰ 0.o ⁸⁰ 81.25

3 EKOWONo (s) 2.51451 11.90509 Ntomologo 50 2.O 80 80-oo

1 AFOO 2.7?O9l It-76737 lobo (I)

4

^o.o ⁸⁰ ^77.60

5. [rrNKUl u ^(H) ^2.39835 ^11.69167 ^{Aibco Cr)} ⁵⁰ ^o.o ⁷⁹ ^75.95

6. IIAEBEIAENKO H 2.55098 t2.16648 LAbrua (f) 30 26.67 66 83-3{

EBOLOWA DI5TRICT

7 NvAZO',O (H) 3.06260 10.89073 Nyozou Cf) 36 2.83 80 72.W

8. Ir vrLA ^(H) ^?-87276 t[.07545 Mvillo (I) 9 o.o

9 ,UELAN6UE(H) 3.17987 10.82658 ttAelongrue T ³³ ^18.18 ⁶³ 7t -43

10 FOULASST 3.@769 ^11.11949 ²² 0.oo 75 58.66

11. ,riBoN6(H) 2.96456 tt.tt947 ^MvilhCr) ^2t ^14.29 ⁸⁰ ^67.50

t2. r rNKoK ^(H) ^2.65881 ^11.32085 sen CI) 50 4.OO 80 89-86

13. ADJAP Cr) 2.54157 11.49809 Bifom Cr) 38 2.63 ⁶⁹ 70-oo

t4. N@AZP ^3.05680 ^11.62782 ⁴⁸ 6.30 ⁸⁰ 77.50

15 M\4IENC (H) 2.84335 10.95316 Dgobanyo 46 6.92 80 70.@

t6 ^NGOAEKELE^H ^3.04820 ^tl.20995 ^Aoruhru^CI ^?2 ^o.o ⁷⁰ ^{67 -14}

t7 ALA^ ^(H) ^2.87871 ^1o.96627 ^Nyqmkulu ³⁵ o.o ⁸⁰ 70-oo

LOLODORF DI5TRTCT

18 ASOLA (H) 3-28222 ^10.45888 ^NgongcCr) 43 13.95 80 78.75

19 KW^l ^BO^(H) ^3.07108 to-37562 Lokunie _Cr) 34 8.82 83 65-06

20 rt OUOUE (H) 3.21601 to-61274 lrtousue(H) 46 10.87 80 63.75

2l BTKOKA (H) 3.26867 10.69105 B.koko Cr) 32 9.38 ⁷⁵ 72.@

22 r ELEN (H) 3.27*9 ^1o.8746 ttAikuku(t) 34 t[.76 103 72.82

KRIBI DI5TRICT

23 rPoNo ^(h) ^2.32893 ^9.85147 ^Ntem(M) ³⁹ to.?6 60 63.33

24 NKO'OLONG H 2.85285 ^10.03056 ^LAbalbeO) ³⁸ ^7.99 ⁶⁴ ^6?.W

25 TI PALA (H) 3.01250 9.85147 ^lrtoolo

fI)

⁴⁶ ^2.17 ⁷⁸ ^7t^-79

26 NTDOUA ^(H) ^3.O5130 1o.24715 Mobule(I) ⁴⁶ 6.52 ⁷³ 73.97

27 EBODJE (H) 2.56953 9.82490 Lipodo CI) 32 3.12 ⁸⁰ ^63.75

28 BONoAHELE H 2.84433 9.88527 Atlontic

oceon

2t o.o ⁵⁶ ^39.29

29 DEHANE (H) 3.49140 ^10.08133 ^Nyons^(H) 4l 9.76 ⁶⁷ ^73.13

30 DIKOBE (H) 3.317?7 ^10.00128 ^{Nyons (H)} ⁵⁰ ^4.OO ⁸⁴ 83.09

(6)

Toble 2 5u

of

RAE in Southern Comeroon, A ust ^{1- t9}

,2009

Toble 3 Sum

of

^RAPLOA

in

Southern Comeroon, t-19,2009

Frequency

of

Peeccntoge ^(%) nodule

rote in

relotion

to

the

number of villoges with nodule

Total number of villoge

20-29 30-39 rttO

l-9 ^10-19

Villogcs with nodulc (%)in

rclofion to thc

number cxomined Villogcs

oomincd

(r)

^ln

r.clotion to thc

numbcr villoges sclccted

Villogcs wil{rout nodulc

(%)

ⁱⁿ

rclotion ^to thc numbcr cxomined Sclcctcd Villogcs

inocccssibl c

(%)in r.elotion to thc number of

villoges sclectcd Region

o (0.o)

I

(33.3 o (o.o) 2

(66.0) o (o.0)

3

(50.0) 6

(100)

3 (50.0)

6 o

(o.o) l.MVANGAN

0 (o.o) o

(o.o) o (0.0) 5

ot.ll

^?^(28.6)

1 (36./t)

7 (63.6)

11 (100)

11 o

(o.o) 2.EBOLOWT

0 (o.o) o

(o.o) 0 (0.0) 2

(/tO.O) 3 (60.0) 5

(r00) 5

(100)

0 (o.o)

5 o

(o.o) 3.LOLODORF

0 (o.o) o

(o.o) 0 (o.o) 6

@5.n

I

(14.3) 7

(87.5)

I

(l00)

I

(12.5)

I

^o

(o.o) 4. KRIBI

30 (roo)

8

G6.6n

30 0

(o.o) TOTAL

Freguency of percentoge ^(7o)history

of

eye worm

in

relation

to

^the

number

of

^villoges^with^historY^of

eye wotm Total number of villoge

40-59 60-79 80-100 I -19 ^20-39

Villogcs with

history ^of cyc worm (%)in r"clofion to the numbcr cxomincd Villoges

cxomincd

(%) in

ralotion to thc nunrbcr villoges sele*led

Villoges withouf historT of cy? wofln

(%)

ⁱⁿ

rclotion to thc numbcr exomincd Selected Villogcs

inocccssibl a

(%)in

rclotion to thc numbcr of villoges sclcctcd Region

2 (33.3 3)

4 (66.66) o

(o.o) o (0.o) o

(o.o) o

(0.0

6 (100) o

(o.o)

6 (roo)

I.^AVANGAN 6

2 (0.o)

I

(10.0) 7 (70.0) o

(o,o) o (o.o) 0

(0.0)

10 (100.0) 0

(o.o)

10 (e0.91)

2.ESOLOWA 10

o (0.0) o

(0,0) 5 (100) o

(o,o) o (o.o) o

(0.0)

5 (100.0) o

(o.o)

5 (r00)

3.LO{-ODORF 5

I (l2.5)

o (0.0)

6 (75.0) 0

(o.o)

I

(12.5) o

(0.0)

8 (100.0) 8

(1oo.o)

4. KRIBI 8 o

(0.0)

20 (68.e 6)

7 (24.14) o

(3.4+)

1

(3.44) 29

(100)

o (o.o) 29

(100)

0 (0,0)

29 o

(o,o) TOTAL

(7)

4.0

REFERENCE5

Ngoumou, P & Wolsh,

JF

^{(1993). A}^monuol

for

Ropid Epidemiologicol ^Mopping

Onc hocerc iasi s. TDR/TD E/ONCHO|93 ^.4. ^WHO Gev eno.

Wonji, 5;

Tendongfor,

N.

Esum,

M.

Yundze,

55. ^Toylor, MJ.

Enyong, ^P' (2005). Combined

utilizotion of

Ropid Assessment Procedures

for

^Loiosis

(RAPLOA) ond Onchocerciosis (REA)

in roin forest

^villoges

of

^Comeroon.

Filarial,fournal,

4(l):

2

WHO(1998). 6uidelines

f

or ^onolysis of ^REMO dqto ^using

^GlS.

TDR/TDF/CO0|T/98.

3,

WH O Geneva.

WHO (2001) Report

of

o multi-centre study ^onropid ossessment procedure

for

loiosis,TDR/fiDE/RAPLOA/01 ^.I . WHO Geneva

WHO (2OOZ). Guidelines for ^Ropid Assessment of Loo

^Loo

TDR/IDE/RAPLOA/O2.1 . WHO ^Geneva

5.O ACKNOWLEDGEMENT5

We

are gratef ul

to

WHO/ ^APOC

for ^the

opportunity given

to

^us^to

se?ve ond

contribute. We

ore olso indepted

to

WR Comeroon, WR Nigerio, ond WR 6hono

for focilitoting this

mission ond

to

^Notionol

Coordinotor,

Nqtionol

Onchocerciosis

Control

Progromme ^(NOCP), members

of ^NOCP

^Comeroon

^for ^their ^support ^qnd

^goodwill

throughout

the

^exercise.

^The

^success

of this

exercise wos mqde comporotively easier by

the

expertise ond commitment

exhibited

by the field

stoff,

^nomelyDr ^Boyoro,^Ms^Longong^Yolonde,^MsMofo Floro Cyntio, Mr Dotchouq Fobrice, Mr Abio Luther. ^qnd

the

project drivers during

the

^survey.

^{To oll} thot

contributed

to ^the

^success

of

this REA/RAPLOA mission in Southern ^Region

of

^Cameroon,we soy thonk you.

1. Prof. B. E. B. Nwoke

(8)

6.0 APPENDIX

6.1

Mission octivity

Sundoy, August 1,2009

.

Arrivol

of

Temporory Advisers

ot

Douolo Mondoy, August ?, ?009

.

Trovel to Yooundd,by road Tuesdoy, August

3,2009

.

Briefing

of

WR, MoH, NOTF

.

Plqnning

of

field study

Wednesdoy August 4

-

Wednesdoy, August t2,2OO9

.

REMO ond RAPLO A

field

^exercise

Wednesdoy, August ^12,^?OO9

.

Arcive Yooundd from ^{REMO ond}^RAPLO^A

field

^exercise Thursdoy, August ^13,2OO9

-

Tuesdoy, August

t8,2009

Finol octivities ot Yooundd

o

Doto entry ond onolysis

.

Mission report

.

Submission Mission report

to

^APOCMonogement

.

End

of

Mission

Wednesdoy, August ^19,^?OO9

o

Temporory Adviser Deports

(9)

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t- AND ENT

RAPID

MAPPING OF ONCHOCERCIAST5

(REMO) AND RAPID ASSESSI ENT PROCEDURE

LOrASrs (RAPLOA) IN SOUTHERN CAI EROON, AUGIIST t-

19,2009

MISSION REPORT

FOR

woRLD HEALTH ORGANTZATTON (WHO) AFRTCAN PROGRAMME FOR ONCHOCERCIA5I5 CONTROL

(APOC) OUAGADOUGOU, BURKTNA FASO

WHO/ APOC Temporory odvisers:

RAPID

MAPPING OF ONCHOCERCIASIS

(REMO) AND RAPrD ASSESSI ENT PROCEDURE

LOIASI5 (RAPLOA) IN SOUTHERN CA,l EROON, AUGUST 1- 19, 2009

MISSION REPORT

FOR

woRLD HEALTH OPGANTZATTON (WHO) AFRTCAN PROGRAMME FOR ONCHOCERCIA5I5 CONTROL

(APOC) OUAGADOUGOU, BURKTNA FASO

WHO/ APOC Temporory odvisers:

CONTENTs

OF

2.0 MATERIALS AND METHOD 3.0 RE5ULT5

4.0

5.0 ACKNOWLEDGEMENT 6.0 APPENDIX

Mission octivity

6.2

results of Southern

August

1.0 OBJECTIVE oF THE ,l IssIoN

the letter

of Dr

V.

of

(o) In

with the

of

of

districts of

of

(b) To select the

survey ore to

(c)

(d)

to

C

o

report of

2.0

ETHOD

. REA

wqs

the WHO

Mapping of

(REMO) procedure of Ngor^o, & wqlsh (1993) ond w{o (1998) except thot

for the

of the settlement pottern

the forested

with

qt the

to

of

At

District

of

District

Officers

for

for

of

(wHo, loot:

wonji et

for the

thot the

other

3.0 RE5ULT5 AND DI5CUSSION

Toble 1

of

of

for

(REMO) AND ^RAPID ^ASSESSI ENT ^PROCEDURE

LOrASrs ^(RAPLOA) IN ^SOUTHERN ^CAI ^EROON, ^AUGIIST t-

MISSION ^REPORT

woRLD HEALTH ORGANTZATTON (WHO) AFRTCAN PROGRAMME FOR ONCHOCERCIA5I5 ^CONTROL

(APOC) OUAGADOUGOU, ^BURKTNA FASO

WHO/ ^APOC Temporory odvisers:

(REMO) AND ^RAPrD ^ASSESSI ENT ^PROCEDURE

LOIASI5 ^(RAPLOA) IN ^SOUTHERN ^CA,l EROON, AUGUST 1- 19, ²⁰⁰⁹

MISSION ^REPORT

woRLD HEALTH OPGANTZATTON (WHO) AFRTCAN PROGRAMME FOR ONCHOCERCIA5I5 ^CONTROL

(APOC) OUAGADOUGOU, ^BURKTNA FASO

WHO/ ^APOC Temporory odvisers:

1.0 ^OBJECTIVE oF ^{THE ,l} IssIoN

(REMO) procedure of Ngor^o, & ^wqlsh ⁽¹⁹⁹³⁾ ond w{o (1998) except thot

qt _the

^{wonji et}

55. ^Toylor, MJ.

or ^onolysis of ^REMO dqto ^using

WHO (2OOZ). Guidelines for ^Ropid Assessment of Loo

for ^the

of ^NOCP

^for ^their ^support ^qnd

^The

^{To oll} thot

to ^the