Integrating NTD Mapping Protocols: Can Surveys for Trachoma and Urinary Schistosomiasis Be Done Simultaneously?

Jonathan D. King The Carter Center, Atlanta, Georgia; The Carter Center, Jos, Plateau State, Nigeria; Centers for Disease Control and Prevention, Coordinating Center for Infectious Diseases, National Center for Zoonotic, Vectorborne and Enteric Diseases, Parasitic Diseases Branch, Atlanta, Georgia; Emory University Rollins School of Public Health, Atlanta, Georgia

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Abel Eigege The Carter Center, Atlanta, Georgia; The Carter Center, Jos, Plateau State, Nigeria; Centers for Disease Control and Prevention, Coordinating Center for Infectious Diseases, National Center for Zoonotic, Vectorborne and Enteric Diseases, Parasitic Diseases Branch, Atlanta, Georgia; Emory University Rollins School of Public Health, Atlanta, Georgia

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Frank Richards Jr The Carter Center, Atlanta, Georgia; The Carter Center, Jos, Plateau State, Nigeria; Centers for Disease Control and Prevention, Coordinating Center for Infectious Diseases, National Center for Zoonotic, Vectorborne and Enteric Diseases, Parasitic Diseases Branch, Atlanta, Georgia; Emory University Rollins School of Public Health, Atlanta, Georgia

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Nimzing Jip The Carter Center, Atlanta, Georgia; The Carter Center, Jos, Plateau State, Nigeria; Centers for Disease Control and Prevention, Coordinating Center for Infectious Diseases, National Center for Zoonotic, Vectorborne and Enteric Diseases, Parasitic Diseases Branch, Atlanta, Georgia; Emory University Rollins School of Public Health, Atlanta, Georgia

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John Umaru The Carter Center, Atlanta, Georgia; The Carter Center, Jos, Plateau State, Nigeria; Centers for Disease Control and Prevention, Coordinating Center for Infectious Diseases, National Center for Zoonotic, Vectorborne and Enteric Diseases, Parasitic Diseases Branch, Atlanta, Georgia; Emory University Rollins School of Public Health, Atlanta, Georgia

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Michael Deming The Carter Center, Atlanta, Georgia; The Carter Center, Jos, Plateau State, Nigeria; Centers for Disease Control and Prevention, Coordinating Center for Infectious Diseases, National Center for Zoonotic, Vectorborne and Enteric Diseases, Parasitic Diseases Branch, Atlanta, Georgia; Emory University Rollins School of Public Health, Atlanta, Georgia

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Emmanuel Miri The Carter Center, Atlanta, Georgia; The Carter Center, Jos, Plateau State, Nigeria; Centers for Disease Control and Prevention, Coordinating Center for Infectious Diseases, National Center for Zoonotic, Vectorborne and Enteric Diseases, Parasitic Diseases Branch, Atlanta, Georgia; Emory University Rollins School of Public Health, Atlanta, Georgia

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Deborah McFarland The Carter Center, Atlanta, Georgia; The Carter Center, Jos, Plateau State, Nigeria; Centers for Disease Control and Prevention, Coordinating Center for Infectious Diseases, National Center for Zoonotic, Vectorborne and Enteric Diseases, Parasitic Diseases Branch, Atlanta, Georgia; Emory University Rollins School of Public Health, Atlanta, Georgia

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Paul M. Emerson The Carter Center, Atlanta, Georgia; The Carter Center, Jos, Plateau State, Nigeria; Centers for Disease Control and Prevention, Coordinating Center for Infectious Diseases, National Center for Zoonotic, Vectorborne and Enteric Diseases, Parasitic Diseases Branch, Atlanta, Georgia; Emory University Rollins School of Public Health, Atlanta, Georgia

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We determined whether the school-based “disease mapping” methodology used to assess urinary schistosomiasis (SCH) is useful for determining trachoma interventions and whether the district-based approach recommended for trachoma is useful for SCH control programs. We conducted two separate integrated surveys in eight districts of central Nigeria: school based and district based. A total of 17,189 children were examined for trachoma and 16,238 children were examined for hematuria from 363 schools and 2,149 households. School surveys identified 67 communities warranting praziquantel drug treatment of SCH and 142 trachoma-endemic communities warranting trachoma control activities. In district-level estimates, we identified 24 communities for praziquantel treatment and 0 for trachoma intervention. Integrating trachoma into SCH school-based surveys, and SCH into trachoma surveys, was quick and easy, but in this setting, school-based surveys were more useful for identifying communities where intervention is warranted.

Author Notes

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