A Serological Survey of Human Onchocerciasis in Yemen

Charles D. Mackenzie Liverpool School of Tropical Medicine, Pembroke Square, Liverpool, United Kigdom;
Neglected Tropical Diseases Support Center, Task Force for Global Health, Decatur, Illinois;

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Abdul-Samid Al-Kubati Yemeni Onchocerciasis Program, Tiaz, Yemen;

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Yasin Al-Qubati Yemeni Onchocerciasis Program, Tiaz, Yemen;

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Ashley Behan-Braman Department of Pathobiology and Diagnostic Investigation, Michigan State University, East Lansing, Michigan;

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Joseph Kubofcik Parasitology Laboratory, National Institutes of Health/National Institute of Allergy and Infectious Diseases, Bethesda, Maryland;

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Adrian Hopkins Perry Street, Kent, United Kingdom

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Thomas B. Nutman Parasitology Laboratory, National Institutes of Health/National Institute of Allergy and Infectious Diseases, Bethesda, Maryland;

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Yemen is a country that has been treating severe cases of oncho-dermatitis since 1992 and is now moving to a program aimed at the elimination of the transmission of Onchocerca volvulus. It is important to ensure that the currently acceptable tools used in epidemiological assessment of onchocerciasis in Africa and Latin America also apply to Yemen. Five hundred and ten blood samples from three known O. volvulus–endemic areas, locations that have never been under a mass treatment program, were tested for the presence of antibodies against a panel of O. volvulus–specific antigens using enzyme-linked immunosorbent assay (Ov16) and luciferase immunoprecipitation system (Ov-FAR-1 and Ov-MSA-1) assays. Overall, 31.4% of the samples tested were positive, with positivity increasing with age. Positivity was seen in 76.5% of those presenting with clinical onchocerciasis but importantly also in more than 28.5% of those defined as free of oncho-dermatitis; these latter individuals are likely to be serving as a source for persistent reinfection. This study supports the use of the current O. volvulus–specific serologic methodology in Yemen.

Author Notes

Address correspondence to Charles D. Mackenzie, Neglected Tropical Diseases Support Center, Task Force for Global Health, Decatur, GA 30030. E-mail: tropmed@mac.com

Authors’ addresses: Charles D. Mackenzie, Liverpool School of Tropical Medicine, Pembroke Square, Liverpool, United Kingdom, E-mail: tropmed@mac.com. Abdul-Samid Al-Kubati, National Onchocerciasis Program, Tiaz, Yemen, and National Leprosy Program, Tiaz, Yemen, E-mail: a-samidku@hotmail.com. Yasin Al-Qubati, Yemeni Onchocerciasis Program, Tiaz, Yemen, E-mail: alkobti@yahoo.com. Ashley Behan-Braman, Department of Pathobiology and Diagnostic Investigation, Michigan State University, East Lansing, MI, E-mail: behanash@msu.edu. Joseph Kubofcik and Thomas B. Nutman, Laboratory of Parasitic Disease, National Institutes of Health/National Institute of Allergy and Infectious Diseases, Bethesda, MD, E-mails: jkubofcik@niaid.nih.gov and alkobti@yahoo.com. Adrian Hopkins, Perry Street, Kent DA11 8R, United Kingdom Email: adrianhopkinsconsulting@gmail.com.

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