Hostname: page-component-586b7cd67f-g8jcs Total loading time: 0 Render date: 2024-11-25T15:30:50.274Z Has data issue: false hasContentIssue false

The dynamics of microfilaraemia and its relation with development of disease in periodic Brugia malayi infection in South India

Published online by Cambridge University Press:  15 May 2009

S. Sabesan
Affiliation:
Vector Control Research Centre (Indian Council of Medical Research), Indira Nagar, Pondicherry – 605 006, India
K. Krishnamoorthy
Affiliation:
Vector Control Research Centre (Indian Council of Medical Research), Indira Nagar, Pondicherry – 605 006, India
K. N. Panicker
Affiliation:
Vector Control Research Centre (Indian Council of Medical Research), Indira Nagar, Pondicherry – 605 006, India
P. Vanamail
Affiliation:
Vector Control Research Centre (Indian Council of Medical Research), Indira Nagar, Pondicherry – 605 006, India
Rights & Permissions [Opens in a new window]

Summary

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Rates of acquisition and loss of Brugia malayi microfilaraemia were estimated using the parasitological data of a cohort of population in Shertallai, South India. The rate of acquisition of microfilaraemia was found to be dependent on age but not gender. The decline in the rate of acquisition of microfilaraemia in adults above 35 years could be due to the development of acquired immunity. The mean reproductive lifespan for the periodic Brugia malayi adult female worm was estimated to be 34 years and it was independent of host age and gender. The age-specific estimated proportion of population at risk (microfilaria carriers who lost their microfilaria in course of time) of developing lymphoedema approximately mirrored the observed age specific prevalence of lymphoedema in the study-population. On an average, 99% of population at risk developed manifestations of disease. The estimated population at risk of developing disease in different endemic areas is compared and its epidemiological significance is discussed.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1991

References

REFERENCES

1.WHO. Lymphatic filariasis. Fourth report of the WHO expert committee on filariasis. Technical report series 1984; 702: 1112.Google Scholar
2.Ottesen, EA. Introduction. In: Filariasis, Ciba Foundation Symposium 1987; 127: 14.Google Scholar
3.Rajagopalan, PK, Panicker, KN, Sabesan, S, et al. Control of brugian filariasis in Shertallai. South India: Pre-control epidemiological observations. Miscellaneous Publication Vector Control Research Centre 1988; 7: 118.Google Scholar
4.Rajagopalan, PK, Panicker, KN, Pani, SP. Impact of 50 years of vector control on the prevalence of Brugia malayi in Shertallai area of Kerala state. Indian Res 1989; 89: 418–25.Google ScholarPubMed
5.Pani, SP, Krishnamoorthy, K, Rao, AS, et al. Clinical manifestations in malayan filariasis with special reference to lymphoedema grading. Indian J Med Res [A]. 1990; 91: 200–7.Google Scholar
6.Srividya, A, Krishnamoorthy, K, Sabesan, S, et al. Frequency distribution of Brugia malayi microfilariae in human population. Parasitol 1990; 102: 207–12.CrossRefGoogle Scholar
7.Muench, H. Catalytic models in epidemiology. Cambridge, Mass: Harvard University Press. 1959.CrossRefGoogle Scholar
8.Hairston, NG, Jachowski, LA. Analysis of the Wuchereria bancrofti population in the people of American Samoa. Bull World Hlth Org 1968; 38: 2959.Google Scholar
9.Vanamail, P, Subramanian, S, Das, PK, et al. Estimation of age-specific rates of acquisition and loss of Wuchereria bancrofti infections. Trans R Soc Trop Med Hyg 1989; 83: 689–93.Google Scholar
10.Srividya, A, Pani, SP, Rajagopalan, PK, et al. The dynamics of infection and disease in bancroftian filariasis. Trans R Soc Trop Med Hyg 1991; 85: 255–9.CrossRefGoogle ScholarPubMed
11.Ottesen, EA. Immunological aspects of lymphatic filariasis and onchocerciasis in man. Trans Soc Trop Med Hyg 1984; 78 (suppl): 918.CrossRefGoogle ScholarPubMed
12.Jaswant, Singh L, Krishnaswami, AK, Raghavan, NGS. Filariasis in Travancore-Cochin state. II Shertallai Taluk. Indian J Malariol 1956; 10: 317–25.Google Scholar
13.Nair, CP. Filariasis survey of Vaikom municipality in Kerala state. J Commun 1969; 1: 5970.Google Scholar
14.Iyengar, MOT. Filariasis in Thailand. Bull World Hlth Org 1953; 9: 731–6.Google ScholarPubMed
15.Wilson, T, Ramachandran, CP. Brugia infections in man and animals: Long term observations on microfilaraemia and estimates of the efficiency of transmission from mosquito vector to definitive host. Ann Trop Med Parasit 1971; 65: 525–46.CrossRefGoogle ScholarPubMed
16.Russel, S, Das, M, Rao, CK. Trend of malayan filariasis in selected areas of Kerala state. J Comm Dis 1976; 8: 203–9.Google Scholar
17.Iyengar, MOT. Studies on the epidemiology of filariasis in Travancore. Indian Med Res Memoirs 1938; 30: 1179.Google Scholar
18.Chandrasekharan, A, Das, M, Krishna, Rao Ch, et al. Pilot project for control of Brugia malayi filariasis. Part I. Some aspects of bionomics of vectors. J Comm Dis 1976; 8: 179–88.Google Scholar
19.Partono, F. The spectrum of disease in lymphatic filariasis. In: Filariasis, Ciba Foundation Symposium 1987; 127: 1531.Google ScholarPubMed
20.Partono, F. Filariasis in Indonesia: Clinical manifestations and basic concepts of treatment and control. Trans R Soc Trop Med Hyg 1984; 78: 912.CrossRefGoogle ScholarPubMed
21. Anonymous. Filariasis in India. Natl Med J India 1990; 3: 14.Google Scholar
22.Pani, SP, Balakrishnan, N, Srividya, A, et al. Clinical epidemiology of Bancroftian filariasis: effect of age and gender. Trans Soc Trop Med Hyg 1991; 85: 260–4.CrossRefGoogle ScholarPubMed