Polymerase Chain Reaction Pool Screening Used To Compare Prevalence of Infective Black Flies in Two Onchocerciasis Foci in Northern Sudan

Tarig B. Higazi Ohio University, Zanesville, Ohio; Ministry of Health, Khartoum, Sudan; The Carter Center, Khartoum, Sudan; The Carter Center, Atlanta, Georgia; Global Health Infectious Diseases Research Program, College of Public Health, University of South Florida, Tampa, Florida; Michigan State University, East Lansing, Michigan

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Isam M. A. Zarroug Ohio University, Zanesville, Ohio; Ministry of Health, Khartoum, Sudan; The Carter Center, Khartoum, Sudan; The Carter Center, Atlanta, Georgia; Global Health Infectious Diseases Research Program, College of Public Health, University of South Florida, Tampa, Florida; Michigan State University, East Lansing, Michigan

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Hanan A. Mohamed Ohio University, Zanesville, Ohio; Ministry of Health, Khartoum, Sudan; The Carter Center, Khartoum, Sudan; The Carter Center, Atlanta, Georgia; Global Health Infectious Diseases Research Program, College of Public Health, University of South Florida, Tampa, Florida; Michigan State University, East Lansing, Michigan

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Wigdan A. Mohamed Ohio University, Zanesville, Ohio; Ministry of Health, Khartoum, Sudan; The Carter Center, Khartoum, Sudan; The Carter Center, Atlanta, Georgia; Global Health Infectious Diseases Research Program, College of Public Health, University of South Florida, Tampa, Florida; Michigan State University, East Lansing, Michigan

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Tong Chor M. Deran Ohio University, Zanesville, Ohio; Ministry of Health, Khartoum, Sudan; The Carter Center, Khartoum, Sudan; The Carter Center, Atlanta, Georgia; Global Health Infectious Diseases Research Program, College of Public Health, University of South Florida, Tampa, Florida; Michigan State University, East Lansing, Michigan

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Nabil Aziz Ohio University, Zanesville, Ohio; Ministry of Health, Khartoum, Sudan; The Carter Center, Khartoum, Sudan; The Carter Center, Atlanta, Georgia; Global Health Infectious Diseases Research Program, College of Public Health, University of South Florida, Tampa, Florida; Michigan State University, East Lansing, Michigan

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Moses Katabarwa Ohio University, Zanesville, Ohio; Ministry of Health, Khartoum, Sudan; The Carter Center, Khartoum, Sudan; The Carter Center, Atlanta, Georgia; Global Health Infectious Diseases Research Program, College of Public Health, University of South Florida, Tampa, Florida; Michigan State University, East Lansing, Michigan

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Hassan K. Hassan Ohio University, Zanesville, Ohio; Ministry of Health, Khartoum, Sudan; The Carter Center, Khartoum, Sudan; The Carter Center, Atlanta, Georgia; Global Health Infectious Diseases Research Program, College of Public Health, University of South Florida, Tampa, Florida; Michigan State University, East Lansing, Michigan

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Thomas R. Unnasch Ohio University, Zanesville, Ohio; Ministry of Health, Khartoum, Sudan; The Carter Center, Khartoum, Sudan; The Carter Center, Atlanta, Georgia; Global Health Infectious Diseases Research Program, College of Public Health, University of South Florida, Tampa, Florida; Michigan State University, East Lansing, Michigan

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Charles D. Mackenzie Ohio University, Zanesville, Ohio; Ministry of Health, Khartoum, Sudan; The Carter Center, Khartoum, Sudan; The Carter Center, Atlanta, Georgia; Global Health Infectious Diseases Research Program, College of Public Health, University of South Florida, Tampa, Florida; Michigan State University, East Lansing, Michigan

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Frank Richards Ohio University, Zanesville, Ohio; Ministry of Health, Khartoum, Sudan; The Carter Center, Khartoum, Sudan; The Carter Center, Atlanta, Georgia; Global Health Infectious Diseases Research Program, College of Public Health, University of South Florida, Tampa, Florida; Michigan State University, East Lansing, Michigan

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Onchocerciasis remains an important debilitating disease in many areas of Africa, including Sudan. The status of infection transmission in 2007 was assessed in the vectors of two disease foci in Sudan: Abu Hamed in northern Sudan, which has received at least 10 years of annual treatment and Galabat focus in eastern Sudan, where only minor, largely undocumented treatment activity has occurred. Assessment of more than 30,000 black flies for Onchocerca volvulus infectious stage L3 larvae by using an O-150 polymerase chain reaction protocol showed that black fly infectivity rates were 0.84 (95% confidence interval = 0.0497–1.88) per 10,000 flies for Abu Hamed and 6.9 (95% confidence interval = 1.1–16.4) infective flies per 10,000 for Galabat. These results provide entomologic evidence for suppressed Onchocerca volvulus transmission in the Abu Hamed focus and a moderate transmission rate of the parasite in the Galabat focus.

Author Notes

*Address correspondence to Tarig B. Higazi, Department of Biological Sciences, Ohio University, Zanesville Elson 249, 1425 Newark Road, Zanesville, OH 43701. E-mail: higazi@ohio.edu

Financial support: Field work and laboratory analysis were supported by the Lions Clubs SightFirst Program and The Carter Center.

Authors' addresses: Tarig B. Higazi, Department of Biological Sciences, Ohio University, Zanesville Elson 249, 1425 Newark Road, Zanesville OH 43701. Isam M. A. Zarroug, Hanan A. Mohamed, Wigdan A. Mohamed, and Tong Chor M. Deran, Ministry of Health, Khartoum, Sudan. Nabil Aziz, The Carter Center, Khartoum, Sudan. Moses Katabarwa and Frank Richards, The Carter Center, Atlanta, GA 30307. Hassan K. Hassan and Thomas R. Unnasch, Global Health Infectious Diseases Research Program, College of Public Health, University of South Florida, Tampa, FL 33612. Charles D. Mackenzie, Michigan State University, East Lansing, MI 48824.

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