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A Cohort Study of Lymphatic Filariasis on Socio Economic Conditions in Andhra Pradesh, India

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  • Suryanaryana Murty Upadhyayula
  • Srinivasa Rao Mutheneni
  • Madhusudhan Rao Kadiri
  • Sriram Kumaraswamy
  • Balakrishna Nagalla

Abstract

Background: To assess the impact of socioeconomic variables on lymphatic filariasis in endemic villages of Karimnagar district, Andhra Pradesh, India. Methods: A pilot scale study was conducted in 30 villages of Karimnagar district from 2004 to 2007. These villages were selected based on previous reports from department of health, Government of Andhra Pradesh, epidemiology, entomology and socioeconomic survey was conducted as per protocol. Collected data were analysed statistically by Chi square test, Principal Component Analysis, Odds ratio, Bivariate, multivariate logistic regression analysis. Results: Total of 5,394 blood samples collected and screened for microfilaria, out of which 199 were found to be positive (3.7%). The socioeconomic data of these respondents/participants were correlated with MF prevalence. The socioeconomic variables like educational status (Odds Ratio (OR) = 2.6, 95% Confidence Interval (CI) = 1.1–6.5), house structure (hut OR = 1.9, 95% CI = 1.2–3.1; tiled OR = 1.3, 95% CI = 0.8–2) and participation in mass drug administration program (OR = 1.8, 95% CI = 1.3–2.6) were found to be highly associated with the occurrence of filarial disease. The socioeconomic index was categorized into low (3.6%; OR-1.1, 95% CI: 0.7–1.5) medium (4.9%; OR-1.5, 95% CI = 1–2.1) and high (3.3%) in relation to percentage of filarial parasite prevalence. A significant difference was observed among these three groups while comparing the number of cases of filaria with the type of socioeconomic conditions of the respondents (P = 0.067). Conclusions: From this study it is inferred that age, education of family, type of house structure and awareness about the filarial disease directly influenced the disease prevalence. Beside annual mass drug administration program, such type of analysis should be undertaken by health officials to target a few socioeconomic factors to reduce the disease burden. Health education campaigns in the endemic villages and imparting of protection measures against mosquitoes using insecticide treated bed nets would substantially reduce the disease in these villages.

Suggested Citation

  • Suryanaryana Murty Upadhyayula & Srinivasa Rao Mutheneni & Madhusudhan Rao Kadiri & Sriram Kumaraswamy & Balakrishna Nagalla, 2012. "A Cohort Study of Lymphatic Filariasis on Socio Economic Conditions in Andhra Pradesh, India," PLOS ONE, Public Library of Science, vol. 7(3), pages 1-8, March.
  • Handle: RePEc:plo:pone00:0033779
    DOI: 10.1371/journal.pone.0033779
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    References listed on IDEAS

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    1. Myrtle Perera & Margaret Whitehead & David Molyneux & Mirani Weerasooriya & Godfrey Gunatilleke, 2007. "Neglected Patients with a Neglected Disease? A Qualitative Study of Lymphatic Filariasis," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 1(2), pages 1-8, November.
    2. Rauyajin, Oratai & Kamthornwachara, Benjawan & Yablo, Paul, 1995. "Socio-cultural and behavioural aspects of mosquito-borne lymphatic filariasis in Thailand: A qualitative analysis," Social Science & Medicine, Elsevier, vol. 41(12), pages 1705-1713, December.
    3. Angela Testi & Enrico Ivaldi, 2009. "Material versus social deprivation and health: a case study of an urban area," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 10(3), pages 323-328, July.
    4. Lee, Shoou-Yih D. & Arozullah, Ahsan M. & Cho, Young Ik, 2004. "Health literacy, social support, and health: a research agenda," Social Science & Medicine, Elsevier, vol. 58(7), pages 1309-1321, April.
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    1. Kim Ozano & Laura Dean & Mami Yoshimura & Eleanor MacPherson & Natalia Linou & Mariam Otmani del Barrio & Christine M Halleux & Olumide Ogundahunsi & Sally Theobald, 2020. "A call to action for universal health coverage: Why we need to address gender inequities in the neglected tropical diseases community," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 14(3), pages 1-7, March.

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