Prevalence of Trachomatous Trichiasis in Ten Evaluation Units of Embu and Kitui Counties, Kenya.

BACKGROUND: Late-stage blinding sequalae of trachoma such as trachomatous trichiasis (TT) typically take decades to develop and often do so in the absence of ongoing ocular Chlamydia trachomatis infection. This suggests that most TT risk accumulates in early life; as a result, population-level TT incidence and prevalence can remain high years after C. trachomatis transmission among children has decreased. In Embu and Kitui counties, Kenya, the prevalence of trachomatous inflammation - follicular is low in children. In this survey, we set out to determine the prevalence of TT in ten evaluation units (EUs) in these counties. METHODS: We undertook ten cross-sectional prevalence surveys for TT. In each EU, people aged ≥15 years were selected by a two-stage cluster sampling method and examined for TT. Those with TT were asked questions on whether they had been offered management for it. Prevalence was adjusted to the underlying age and gender structure of the population. RESULTS: A total of 18,987 people aged ≥15 years were examined. Per EU, the median number of examined participants was 1,656 (range: 1,451 - 3,016) and median response rate was 86% (range: 81 - 95%). The prevalence of TT unknown to the health system in people aged ≥15 years was above the threshold for elimination (≥0.2%) in all ten EUs studied (range: 0.2-0.7%). TT was significantly more common in older than younger individuals and in women than in men. DISCUSSION: Provision of surgical services should be strengthened in Embu and Kitui counties of Kenya to achieve the World Health Organization threshold for eliminating TT as a public health problem

Effect of host plant on the fitness of the spittlebug Notozulia entreriana: alternative method for rearing

Among the species belonging to 11 genera of Neotropical spittlebugs attacking graminaceous plants, Notozulia entreriana (Berg) (Hemiptera: Cercopidae) is one of the most important pests of grasses in several countries of South America. In this study, we evaluate the influence of three economically relevant species of host plants (Poaceae) on life-cycle traits of N. entreriana. We tested for differences in fitness responses (survival and fecundity) of insects on forage species which are frequent hosts for wild populations of spittlebugs. Comparison of life cycles on three host plants showed that only 2.5% of nymphs completed their development on Zea mays L., 22.5% on Chloris gayana Kunth, and 95% on Brachiaria decumbens Stapf. All the above suggests that C. gayana and B. decumbens are able to sustain complete development, behaving like natural hosts; the latter species is superior for artificial colonies because a shorter developmental period, higher survivorship in nymphs, and longer lifespan of adults were observed. Zea mays did not allow proper development, causing high mortality instead. We also developed a new approach for small-scale breeding of N. entreriana, which will enable subsequent biological and behavioral studies on this important pest species.Fil: Foieri, Alvaro. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto Nacional de Tecnología Agropecuaria. Centro de Investigación en Ciencias Veterinarias y Agronómicas. Instituto de Microbiología y Zoología Agrícola; ArgentinaFil: Virla, Eduardo Gabriel. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Tucumán. Planta Piloto de Procesos Industriales Microbiológicos; Argentina. Fundación Miguel Lillo; ArgentinaFil: Maciá, Arnaldo. Universidad Nacional de La Plata. Facultad de Ciencias Naturales y Museo. División Entomología; ArgentinaFil: Marino, Ana Maria. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata; Argentina. Universidad Nacional de La Plata. Facultad de Ciencias Naturales y Museo. División Entomología; Argentin