Targeted Treatment of Yaws With Household Contact Tracing: How Much Do We Miss?
File(s)
Author(s)
Type
Journal Article
Abstract
Yaws is a disabling bacterial infection found primarily in warm and humid tropical areas. The World Health Organization strategy mandates an initial round of total community treatment (TCT) with single-dose azithromycin followed either by further TCT or active case-finding and treatment of cases and their contacts (the Morges strategy). We sought to investigate the effectiveness of the Morges strategy. We employed a stochastic household model to study the transmission of infection using data collected from a pre-TCT survey conducted in the Solomon Islands. We used this model to assess the proportion of asymptomatic infections that occurred in households without active cases. This analysis indicated that targeted treatment of cases and their household contacts would miss a large fraction of asymptomatic infections (65%–100%). This fraction was actually higher at lower prevalences. Even assuming that all active cases and their households were successfully treated, our analysis demonstrated that at all prevalences present in the data set, up to 90% of (active and asymptomatic) infections would not be treated under household-based contact tracing. Mapping was undertaken as part of the study “Epidemiology of Yaws in the Solomon Islands and the Impact of a Trachoma Control Programme,” in September–October 2013.
Date Issued
2018-04-01
Date Acceptance
2017-08-22
Citation
AMERICAN JOURNAL OF EPIDEMIOLOGY, 2018, 187 (4), pp.837-844
ISSN
0002-9262
Publisher
Oxford University Press
Start Page
837
End Page
844
Journal / Book Title
AMERICAN JOURNAL OF EPIDEMIOLOGY
Volume
187
Issue
4
Copyright Statement
© 2018 The Author(s). Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000428867400023&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Subjects
Science & Technology
Life Sciences & Biomedicine
Public, Environmental & Occupational Health
contact tracing
household modeling
mass drug administration
modeling
Treponema pallidum pertenue
total community treatment
total targeted treatment
yaws
INFECTIOUS-DISEASE TRANSMISSION
SOLOMON-ISLANDS
ERADICATION
EPIDEMICS
Publication Status
Published
Date Publish Online
2017-11-13