PMID- 12471747
OWN - NLM
STAT- MEDLINE
DCOM- 20021227
LR  - 20191210
IS  - 0020-2495 (Print)
IS  - 0020-2495 (Linking)
VI  - 67
IP  - 1-2
DP  - 2001
TI  - [Identification of communities endemic for urinary bilharziosis by the "Lot 
      Quality Assurance Sampling" method in Madagascar].
PG  - 41-5
AB  - Reduction of morbidity is the main component in the National Schistosomiasis 
      Control Program in Madagascar. The lot quality assurance sampling (LQAS) method 
      has previously been shown as a useful tool in assessment of immunization 
      coverage. A study was carried in the western part of Madagascar aiming to 
      evaluate the applicability of the method in measuring the level of Schistosoma 
      haematobium endemic level in different communities. Parasitological examination 
      of urine samples from 1,124 children aged 5 to 19 years from 12 different schools 
      by use of filtration technique constituted the reference in determining the 
      prevalence. Three schools were found hyper-endemic (prevalence more than 60%), 5 
      schools were intermediate-endemic (prevalence between 30 to 59%), and 4 were 
      hypo-endemic (prevalence less than 30%). Those figures indicate a heterogeneous 
      distribution of S. haematobium in the study area. A sampling plan (16.6) was then 
      tested in the same area while other sampling plans were simulated in the 
      laboratory. School teachers randomized under supervision the children to 
      participate in this study and collected urine samples. All sampling plans (16.6), 
      (14.5), (12.4), (10.3), (8.2), (6.1) et (4.0) allowed correct identification of 
      hyper-endemic and hypo-endemic areas. Misclassifications occurred frequently for 
      intermediate-endemic areas. The study confirms that the LQAS method by use of a 
      (16.6) sampling plan constitute a valuable tool for large scale screening of 
      hyper-endemic areas for therapeutic intervention as part of the control program. 
      The study has also shown that school teachers may offer a potential source of 
      manpower locally in such screening operations.
FAU - Rabarijaona, L P
AU  - Rabarijaona LP
AD  - Institut Pasteur de Madagascar, BP 1274, 101 Antananarivo, Madagascar.
FAU - Andriamaroson, B J
AU  - Andriamaroson BJ
FAU - Ravaoalimalala, V E
AU  - Ravaoalimalala VE
FAU - Ravoniarimbinina, P
AU  - Ravoniarimbinina P
FAU - Migliani, R
AU  - Migliani R
LA  - fre
PT  - Journal Article
PT  - Validation Study
TT  - Identification des communautes cibles en zone de bilharziose urinaire par la 
      methode de "Lot Quality Assurance Sampling" a Madagascar.
PL  - Madagascar
TA  - Arch Inst Pasteur Madagascar
JT  - Archives de l'Institut Pasteur de Madagascar
JID - 7502526
SB  - IM
MH  - Adolescent
MH  - Child
MH  - Child, Preschool
MH  - Endemic Diseases/*statistics & numerical data
MH  - Female
MH  - Humans
MH  - Madagascar/epidemiology
MH  - Male
MH  - Mass Screening/*methods/standards
MH  - Population Surveillance/*methods
MH  - Prevalence
MH  - Quality Assurance, Health Care/*methods
MH  - Sampling Studies
MH  - Schistosomiasis haematobia/*epidemiology/parasitology/urine
MH  - School Health Services/*organization & administration
MH  - Schools
MH  - Sensitivity and Specificity
EDAT- 2002/12/11 04:00
MHDA- 2002/12/28 04:00
CRDT- 2002/12/11 04:00
PHST- 2002/12/11 04:00 [pubmed]
PHST- 2002/12/28 04:00 [medline]
PHST- 2002/12/11 04:00 [entrez]
PST - ppublish
SO  - Arch Inst Pasteur Madagascar. 2001;67(1-2):41-5.