Spatial distribution of urinary schistosomiasis in Cross River State, Nigeria using geographical information system and school based questionnaire.

Urinary schistosomiasis is a serious disease in Cross River State, Nigeria. Dearth of information on its distribution has hampered the implementation of focused control of the disease. The availability of a rapid method for mapping the disease necessitated this research to provide data for control of Urinary schistosomiasis in Cross River State, Nigeria. The study used a rapid validated school-based questionnaire method in mapping schistosomiasis. Geographical information system (GIS) software tools were used to produce a spatial map for prevalence of infection and areas at risk for urinary schistosomiasis in Cross River State. Data analysis with SPSS package revealed that 9,993 (10.2%) female and 10,328 (10.0%) male pupils in 218 schools passed blood in urine in one month out of 199,794 pupils interviewed. There was no statistically significant difference in the prevalence between male and female pupils with infection (p < 0.005). The prevalence of urinary schistosomiasis using questionnaire method correlated positively with the filtration method used in determining the egg output (r = 0.71, p < 0.001). Endemic schools were distributed in thirteen Local Government Areas of Cross River State, Nigeria. Yala and Yakurr LGAs had the highest number of schools that reported schistosomiasis with 39 (59%) and 13 (59%), respectively. Odukpani LGA had the lowest prevalence of 1 (0.2%). The overall results showed a mean urinary schistosomiasis prevalence of 10.2% for Cross River State, Nigeria. The findings of this study would guide Government and other relevant agencies in the implementation of control strategies for the treatment of urinary schistosomiasis in Cross River State, Nigeria.

Occurrence and distribution of Chrysops species in Akamkpa community of Cross River State, Nigeria.

Chrysops species have been recognized for its role as vectors in the transmission of human loiasis in Nigeria. This investigation was aimed at studying the occurrence and distribution of Chrysops species in Akamkpa community, Cross River State. Two fly boys were used as human baits in the collection of adult Chrysops from each of the various villages in Akamkpa community, cross river state, Nigeria. Two species of Chrysops were identified. Chrysops dimidiata recorded significantly higher prevalence of 69.7% than Chrysops silacea 30.3% in all the sampling sites (p<0.05). Out of the 1299 Chrysops species caught in the entire study, the highest prevalence was reported during the late rainy season 916 (70.5%), while the least prevalence of 137 (10.6%) was reported during the late dry season (p<0.05). Two biting peaks 9-10 am and 3-4 pm were identified for Chrysops at all the sampling sites. Fly abundance was found to be higher in the morning hours than in the afternoon. The knowledge of the occurrence and distribution of Chrysops vectors will aid in the ongoing control program for human loiasis in Nigeria and the neighbouring countries where the vectors exist.

Bancroftian filariasis among the Mbembe people of Cross River state, Nigeria.

BACKGROUND & OBJECTIVE: Bancroftian filariasis is a major public health and socioeconomic problems in the humid tropical and subtropical regions of the world. A study was undertaken to investigate the status of the disease in some rural communities of Cross River State, Nigeria, with a view to enriching the epidemiological baseline data of the disease in Nigeria. METHODS: A total of 897 Mbembe people living in six major villages of Obubra Local Government Area of Cross River State, Nigeria were examined between December 2008 and June 2009 for lymphatic filariasis due to Wuchereria bancrofti. RESULTS: Out of the 897 persons examined, 139 (15.5%) were positive for microfilariae in their blood smear. Infection varied significantly among villages (p <0.05) but was not sex-specific (p >0.05). The overall mean microfilarial density among the total population was 9.9 mf/50 microl. The occurrence of microfilaria in the peripheral blood of the infected persons was neither age nor sex specific (p >0.05). The most important clinical manifestations were hydrocele (9.7%) and lymphoedema (2.3%). Overall disease prevalence was (6.8%). CONCLUSION: Government effort on the Community Directed Treatment with Ivermectin (CDTI) project should be complimented with albendazole distribution to the endemic communities. Environmental sanitation should also be intensified to eliminate the breeding sites of the mosquito vectors.