Yaws Prevalence, Lessons from the Field and the Way Forward towards Yaws Eradication in Ghana

Despite past WHO/UNICEF led global yaws eradication efforts, the disease seems to persist. The true burden is however not known for comprehensive action. Ghana's data showed significant increase in notified cases since the 1970s. Recognizing limitations in routine data, we carried out a yaws tr...

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Main Authors:	Agana-Nsiire, Patrick, Kaitoo, Ekow, Agongo, Emmanuel Erasmus Akurugu, Bonsu, George, Kyei-Faried, Sadik, Amponsa-Achiano, Kwame, Ahmed, Kofi, Appiah-Denkyira, Ebenezer, Asiedu, Kingsley, Amankwa, Joseph, Bonsu, Frank Adae
Format:	Online
Language:	English
Published:	Hindawi Publishing Corporation 2014
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4897042/

id	pubmed-4897042
recordtype	oai_dc
spelling	pubmed-48970422016-07-19 Yaws Prevalence, Lessons from the Field and the Way Forward towards Yaws Eradication in Ghana Agana-Nsiire, Patrick Kaitoo, Ekow Agongo, Emmanuel Erasmus Akurugu Bonsu, George Kyei-Faried, Sadik Amponsa-Achiano, Kwame Ahmed, Kofi Appiah-Denkyira, Ebenezer Asiedu, Kingsley Amankwa, Joseph Bonsu, Frank Adae Research Article Despite past WHO/UNICEF led global yaws eradication efforts, the disease seems to persist. The true burden is however not known for comprehensive action. Ghana's data showed significant increase in notified cases since the 1970s. Recognizing limitations in routine data, we carried out a yaws treatment survey in 2008 in three purposively selected districts to establish the prevalence and learn lessons for renewed action. Of 208,413 school children examined, 4,006 were suspected yaws cases (prevalence 1.92 (95% CI: 1.86–1.98) percent). Of 547 schools surveyed, 13% had prevalence between 5% and 10% while 3% had prevalence above 10%. The highest school prevalence was 19.5%. Half of the schools had cases. The large sample allowed aggregating the school results by administrative levels. The lowest aggregated prevalences of 0.23%, 0.40%, and 0.64% were in the urban sub-districts of Asamankese, Oda, and Achiase, respectively, while the highest of 8.61%, 3.69%, and 1.4% were in rural Akroso, Mepom, and Aperade, respectively. In conclusion, the prevalence of yaws is high in some schools in rural, hard-to-reach areas of Ghana. Considering past global eradication efforts, our findings suggest yaws may be resurging for which programmatic action is needed. Hindawi Publishing Corporation 2014-12-31 /pmc/articles/PMC4897042/ /pubmed/27437507 http://dx.doi.org/10.1155/2014/910937 Text en Copyright © 2014 Patrick Agana-Nsiire et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Agana-Nsiire, Patrick Kaitoo, Ekow Agongo, Emmanuel Erasmus Akurugu Bonsu, George Kyei-Faried, Sadik Amponsa-Achiano, Kwame Ahmed, Kofi Appiah-Denkyira, Ebenezer Asiedu, Kingsley Amankwa, Joseph Bonsu, Frank Adae
spellingShingle	Agana-Nsiire, Patrick Kaitoo, Ekow Agongo, Emmanuel Erasmus Akurugu Bonsu, George Kyei-Faried, Sadik Amponsa-Achiano, Kwame Ahmed, Kofi Appiah-Denkyira, Ebenezer Asiedu, Kingsley Amankwa, Joseph Bonsu, Frank Adae Yaws Prevalence, Lessons from the Field and the Way Forward towards Yaws Eradication in Ghana
author_facet	Agana-Nsiire, Patrick Kaitoo, Ekow Agongo, Emmanuel Erasmus Akurugu Bonsu, George Kyei-Faried, Sadik Amponsa-Achiano, Kwame Ahmed, Kofi Appiah-Denkyira, Ebenezer Asiedu, Kingsley Amankwa, Joseph Bonsu, Frank Adae
author_sort	Agana-Nsiire, Patrick
title	Yaws Prevalence, Lessons from the Field and the Way Forward towards Yaws Eradication in Ghana
title_short	Yaws Prevalence, Lessons from the Field and the Way Forward towards Yaws Eradication in Ghana
title_full	Yaws Prevalence, Lessons from the Field and the Way Forward towards Yaws Eradication in Ghana
title_fullStr	Yaws Prevalence, Lessons from the Field and the Way Forward towards Yaws Eradication in Ghana
title_full_unstemmed	Yaws Prevalence, Lessons from the Field and the Way Forward towards Yaws Eradication in Ghana
title_sort	yaws prevalence, lessons from the field and the way forward towards yaws eradication in ghana
description	Despite past WHO/UNICEF led global yaws eradication efforts, the disease seems to persist. The true burden is however not known for comprehensive action. Ghana's data showed significant increase in notified cases since the 1970s. Recognizing limitations in routine data, we carried out a yaws treatment survey in 2008 in three purposively selected districts to establish the prevalence and learn lessons for renewed action. Of 208,413 school children examined, 4,006 were suspected yaws cases (prevalence 1.92 (95% CI: 1.86–1.98) percent). Of 547 schools surveyed, 13% had prevalence between 5% and 10% while 3% had prevalence above 10%. The highest school prevalence was 19.5%. Half of the schools had cases. The large sample allowed aggregating the school results by administrative levels. The lowest aggregated prevalences of 0.23%, 0.40%, and 0.64% were in the urban sub-districts of Asamankese, Oda, and Achiase, respectively, while the highest of 8.61%, 3.69%, and 1.4% were in rural Akroso, Mepom, and Aperade, respectively. In conclusion, the prevalence of yaws is high in some schools in rural, hard-to-reach areas of Ghana. Considering past global eradication efforts, our findings suggest yaws may be resurging for which programmatic action is needed.
publisher	Hindawi Publishing Corporation
publishDate	2014
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4897042/
_version_	1613590445501186048

Yaws Prevalence, Lessons from the Field and the Way Forward towards Yaws Eradication in Ghana

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