High prevalence ofNeisseria gonorrhoeaein a remote, undertreated population of Namibian pastoralists
| Autor: | S. Ponnaluri-Wears, A. Hazel, G. S. Davis, Betsy Foxman, Bobbi S. Low |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
DNA Bacterial Male Rural Population medicine.medical_specialty Epidemiology Pastoralism Population Sexually Transmitted Diseases Medically Underserved Area medicine.disease_cause Polymerase Chain Reaction Risk Assessment Severity of Illness Index Asymptomatic Gonorrhea Young Adult Age Distribution Prevalence Humans Medicine Sex Distribution Young adult education Developing Countries Poverty Gynecology education.field_of_study High prevalence business.industry Public health Middle Aged Original Papers Namibia Neisseria gonorrhoeae Cross-Sectional Studies Infectious Diseases Vaginal swabs Female Public Health medicine.symptom business Demography |
| Zdroj: | Epidemiol Infect |
| ISSN: | 1469-4409 0950-2688 |
| DOI: | 10.1017/s0950268813003488 |
| Popis: | SUMMARYThe highly remote pastoralist communities in Kaokoland, Namibia, have long been presumed to have high gonorrhoea prevalence. To estimate gonorrhoea prevalence and correlates of infection, we conducted a cross-sectional study of 446 adults across 28 rural villages. Gonorrhoea status was determined from urethral and vaginal swabs via qPCR assay. All participants answered a closed-ended interview about demographics, sexual behaviour and symptom history. Sixteen per cent of participants had high-level infections (⩾ID50dose) and 48% had low-level infections (50dose). Women had higher prevalence than men of both high- and low-level infections. High-level infections were regionally and seasonally clustered, occurring in young adults in the Ehama region during the winter. Low-level infections were distributed homogenously across demographic characteristics, season, and region. All low-level infections and most high-level infections (men 78%, women 95%) were asymptomatic and left untreated. The epidemic-like nature of high-level gonorrhoea cases suggests that intervention efforts can be focused on seasons of high social activity. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|