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Report of mission to Sierra Leone for the first large scale ivermectin treatment of the Sewa I & II river basins (February- March 1992)

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- 'zF? l, rtr) cc" e)€lfoP-"*' ca{'*4,, \i u"\ tl I , .D I l,- c c.n ,tul' l\flEHORANDUM LFrom: Ref . Date: Dr. N. O. Opoku OCRC/Hohoe llo . 03 / 92 /EPI oe/03/1992 To: Programme Director Thro' Chief EPI Or rg inator : u REPORT OF MISSION TO SIERRA LEONE FOR THE FIRST LARGE SCALE IVERMECTIN TREATNIENT OF THE SEWA I & II RI\,ER BASI}JS(FEBRL]AH\ - I.IARCH 1992 ) TERI.{S C)F REFERENCE 1. To particrpat,e in the planning of the above mission. To supervise all teams involved in the above large scale ir,,ermect in t,reatment and monitoring of advserse ef f ects . 3. To do briefing and debriefing on the mission. +. To wirte a report on the mission. DATES OF TFIE MISSION: sth Febrr"rary to 72 March 1992. AREA OF IVERMECTIN TREATNIENT Ttre Sewa River Basin is located in the Southern and Easl-ern Province 1n Sierra Leone. The part of the River Basin treated durirrg this mission is in Bo and l(enema district. The main occupation of the commrrnities peasant farming and open cast diamond mining. Access to commtrnities is mainly gravel roads and f ootpal-Lrs. Onchocerciasis is hyperendemic in this area. METHODOLOGY Participants of bhe mission were OCP/EPI team andSierra Leone National Leam. Discussions on the mission rvas hel-d with the EPI Chief in Orraga on 8th and 9th February 1992. Planning of bhe mission and further discussion of the security of the area was held with the Sierra Leone National Co-ordinator on 11th February 1992 at Makeni. The area was divided into three zones among ttrree teams(see map and appendix 1). Three National technicians, one from eactr.i-eam, h/ere sent to sensl-L:_ze the communit,ies aboul- the mission from 12th to 15th. Breiefing was done on 15th and the need to health educale populations and involvement of chief, rural Lreal l".h r.rorkers and teachers in the villages was emphasised. Teams departed to t,heir various zones on 15th February L992 and treatment started on the follorving day. AII teams were visited daily for sLlpervision and 36 hour mobile monitoring was done for a1I treated villages. The EPI Chief visited the treatment area on the 17th and lBth February. On the 21th Februarl it was noticed that it was impossible to finish 1-reating alI villages in Lhe zone and 4t four da_n: w a I2 e\te11s ion o f the t reaLment was reqr-tested . ordinator was rvith the team from 2iLh Debrie f ing r^/as done in his presence. The National to 3rd March Co- and RESIJLTS Appendix II (Detailed Results) lII (Summary of Results)Appendir Forrr hundred and thirty five villages were treated. Poptrlation census of t.he area r{as 61,67i of which 47,185 ( coverage 7 3 ,0% ) were treated . 7 8, 968 tablets of ivermect in r{e r€ used. ADVERSE REACTIONS: Despite thrs treatment being the first for these communities only mild and moderate reactions which needed anal-gesics and anti-histamines were reported during the 36 hour monitoring period. PROBLEI.IS Difficult terrain and 1ot of r-rpdating of 1-he map reduced the progress of the operation. 2 llo st them of the vehicles were not in good condition, Lwo of had major break downs in the field. (JONCLUS ION 1 & with all the difficulties encorrntered, 1st mass ivermectin treatment 1992 of Sewa e\ce1lent.. the 1& coveraqe of the II, (73.0%) was W OBSERVATIONS AND RECOMMENDATIONS Twice as many villages were discovered during treatment and this made planning difficult. Map of the area need updating. L Access to the village Tabe is near Mano Basin. It is therefore recommended Lo Iarge scale ivermectin treatment of the in the Taia Rir,,er be treated during Taia River Basin. Not aII villages could be sensitized within the three dayperiod. The sensitization period should be extended to all-ow total coveraeie 1 3 -l Large villages with populations above three t,horrsand not treated during the mission. Such villages recommended for passive ivermectin treaLment. cal- l- ed miners were are " min ing thus the Some villages withirr Lhe area locaIft, vi11ages" are mainly lropulater:l with adtrlts high percentage coverage in such vi1lages. I a ,] "rfrF'EEJ"l_r _L.r I P!.11:;r ))i\;EL ) ii .':1 lil I -l : J -1 5 6 7 Dr |'l r: TuraS-, [)i st r ic L Errsalr liirrgsleS Ai erh {1p}ra Jol'rn Siltrhoir F'. .\. Baugttra Gikrr-llIa Karnara Sai bLr Turtrl- Jalloh, Assistant PauI l{arding Fatricl.^ Skrerii-"f I srnae 1 lic-r roma A. F,. Iianu BaLa Dttmbtrp-a I ssa Lonteh lulerircal tJfficer Dr iver Dr'r r,'e r Co-ordrnator \-F 1- Drir:er (]CF,/]]IJI OC:P /EE'I l{o sp i t al , Gharrar " - Driver 'fealn II- I L ? .t 5 Lr 7 Lr IIr - T.II - T.N _ T.E _ T.E .I\ .lr "E -T _T -T -T Dritt fe.,rnr III-1. Dr Ltembele iiotrmottzan I..arnbor"r Cl- emen L Thomas IIussa \litm<-rdu Bangura Sal f a Iiamanda Anthumanl' Iiargbo Abass Jalloh Samrrel Smart Artrna Iioroma Ibraliin Iiantr Issah CouLeh Te j an Salr'age Dr lrj. i*l . Opohrr, rJCRrl . , HohoeItir Ft'arrcis Gborie -" .i. (i. t-, () (-l 10" It. 12. .1. \ T.t\ I'. E I.E T,E T.E Ur'i-.-er' Dr iver Drir er- Drivel Srll,rervisor' APPENDIX II RESULTS OF- THE FIRST LARGE SCALE IVERFIECTIN TREAT}IENT OF THE SEWA I & 1I RIVER BASINS Team I No. ViIlage Census Treated % 'f ablets 1 Jagbrna 2 Maboima 3 Gboyama 4 Gandorhun 5 Tabe 6 iionii 7 Limalima I Njaluahun 9 Lungal' 10 Niahun 11 Lembarna 12 Polehun 13 Dasamu 14 Semabu Folobu 15 Logorvulahun 16 Foya 17 Mattru 18 l{undiama 19 Natihun 20 Belor 21 Sul ima 22 Korma 23 Mamboma 24 Boana Belor 25 Giyeibu 26 Mowoso 27 Sembehun 28 }famagewor 29 KpeLema 30 Baj iawo 31 Mongere 32 Dandabu 33 Giehun 3.1 Gbewobu 35 lipetewoma 36 Sami 37 Sembehun-kokofele 38 Gaula 39 Dodo Tikonko 75 l6 19 65.3 78 3625 54.3 352 235 66. B 386 232 181 78.0 315 156 t23 78. I 20i 292 241 82.5 .t 19 94 51 54,2 85 61 16 i 5.4 344 256 i 4.l 4{0 89 69 D 126 67 44 65. 7 72 177 106 59. I 182 78 77 B5 93 L25 133 110 22t 63.9 84. 5 56. 6 1-i4 163 I98 40 Niama ,41 Gelehun 42 Konta 43 Gbalihun 44 Gbakuma -15 Forbu 46 Borbobu 47 Njala 48 Kigbai 49 Sunga 50 Magbema 51 I'lbaomahun 52 Soogbehun 53 Sami 54 Gendema 55 Mofoe 56 Sulehun 57 Mende-Kelema oB Naqbema 59 Yeima 60 Hegbema 61 [{ubangay 62 Gelehun 63 Julin 64 Gatrdorhun 65 Mokumba 66 Kponina 67 Danbara 68 Kasama 69 'Ielu 70 Bendu 71 Maj ihun 72 Feilor 73 trlagbema 74 Sembehun Tabe 7:J Periwahun Tabe 76 ivlokoba 153 ri8 7i.l 207 ti9 132 i3.7 273 26 90 L25 256 21i 488 279 350 178 332 439 59 65.6 98 g5 68. 0 1"14 193 344 50. 2 161 23i 792 296 301 250 180 72.9 303 11 53. 8 103 83. 1 75.4 1l 87 328 253 169 449 599 729 182 1.15 233 326 313 96 138 i13 1i3 190 157 i4,1 75.8 77,9 7 4,2 58. 3 12.r 105 138 128 300 181 154 166 156 428 85 81.0 99 7Lt 93 7 2,6 oo,AJJ tl,t 293 56 187 173 72,i 85. 1 49.4 107 60. 1 263 79.2 51760 ll 356 81. I 7 7 luioliperrde 78 liboanahr-rn 7:, uorroama 80 Gr'rm.a 81 Lungi i{2 Baqorma B.i hircrvruhtr 8-l Grehurr I i B,:nduma 86 ijppre r Saama I7 hpaLobu 8tJ Jomb,'rrhrrn 8 9 I'iano J .:r -l:lrua UU Fc,lu 91 1ri,3111'q-m. 't94 ;;0 -i i89 UJ 1o+30 r03 -l 1(j J53 8-1.:) r)tr'-, 5J0 .itr 1 r03 _rlD :97 rl 19 1.1! 8 8 a a"i 3-17 14i 20i {:i5 " 5 78.8 (Jii. J, 1,i i 318 l'l I i27 -18 3 16[r 3771t) .r77 6!i U*: !l:, L) rTrj "Z - /J27t-, Z lJ ,)t-i 170 l! t92 tr(i 7 ,.i;) aLt! t;9,2 iI"t" 70. B i6E1e .-') {) 281 78 " 1 J80 76 " lr --1+ 6 116 81.0 261) 72.6 65.t) 53. 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B 338 l 91 1,060 7 1.8 162 132 1117 109 5 227 156 145 92. 9 240 331 239 t'r'.2 393 732 125 94.i 198 213 77.9 87.8 73.1 131 193 43 84. 3 173 81.2 166 115 11i 29t 194 231 213 289 81 Yahaima 82 Madina 83 Gbaama B4 Levuma B5 Gondahun 86 Ndogbogoma 87 Kpakru 88 Mafarme 89 Kr'omoIa 90 Babahun 91 lipan j a1a 92 Kwelu 93 Baima 94 Norrqoba 95 Golayla 96 Victoria 97 Sengema 98 Komendi Jn 99 Taninahun Leppiama 100 Naiagolehun 101 Jagbema 102 Pelewahun 10ll N j aqoh 104 Bandajuma 105 Foindu 106 Baaka 107 Bayama 338 22r 65.1 362 443 413 346 381 227 629 63s 395 602 358 380 257 BO. B 92. 0 163 88. 5 71.8 404 375 92.8 669 :123 268 82.9 1+3 360 236 65 6 400 ,3 68 90. 6 712 756 516 72.2 921 393 2i6 70,2 465 i4.3 337 27t 108 i09 110 111 712 11 1l 11 Koranko Man j ehrrn Njopowahun Susu Torsn Susu Torvn pandebu oyome i anowo 502 197 1179 117 61 359 441 B7.B 369 72,4 751 63.9 I 756 600 12 90 101 -t0 7 II 3K 4J 5M 116 Sembehun Leppiama 117 Poyama 118 Gibina 119 Konta 120 Tungbebrr 121 KpaLobu 122 Semibu 1' 1 230 64. 1 1123 Faikrrnder JI 20 54 J,l 1:-1 1:5 I nL\ I'' i gba i Iir-r 1i amat LCrti ttnta (-iltoy. <: i 1,a '-i lrrcl i a 13ll Llee;h,.ma 'i .10 Y,: i rna 1 :l I l',-, i- rtrnaiir r rr 1.:l Faltrr l:l.j f,o1et l.r I jl-l (i, rgbebu I ;ii Peleu,ahurr L\4 rehrr t,i[i Lirneh I . i7 ,\ r ahurr i:'lll Serni i ri i f-ia\ '1m- I JU Sar,rrr i a l -tr I liot anra I -l - 1'onir r 1J.1 .\.,rn11dsh1111 1-l -1 tionci.:-rm;r I l:, Pr:1,:r^r:rhuti \qei 1-e1,..r l.l t, \d,;mbu I -l 7 ll.atrawo i.(B Gr-Iehrrn T(ITAL 239 1-l 7 d2 " l-) 16(l rii li.t 2B{-r iu,j ,;-1 riu 298 rl 22i) 2rl I -1T_1 ., ]: lll : l).1 19(l zUJ 1.jtr i rl:1 11,7 bJr, i78 iB0 lli 'j'l (i2"0 7t.0 1i0. 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B -11 432 531 171 2 9-l 229 77.8 376 23t 176 7€t,7 305 534 409 718 283 211, 85. 1 11:j 10:i 61 177 34(t q1aLIJ 61.6 JTTTJ 77 Gltarama 78 Iilanc, 79 Gbancli I 80 Gbandi I I 81 I(par+udu 82 Bandjuma B3 Sefulla B4 Miraada 85 ivlamltoima 86 h^ondibu B7 Kortuhurr 88 Njala Konboya 89 Gbarama 90 Fulawahun 91 Njawor 92 I',omboya 9j Naigorehun 9-1 Dodo 95 Guabu 96 Gandorh,rn I I 97 }lambui ma 98 Nyamdehurr 99 l{paima 100 lt$66,e1,1n 101 Taiama 1 02 Lawana i03 Sileima 10,1 lrlaiia 1 05 Pegama 106 E,oama J 07 Tokpombu i CEi Patama iCi) Gordie 145 107 191 2 J,ltt9 76. 2 73.7 i05 .).:'j 280 t).lL 112 74 I-11 87 t93 i:15 31.1 Li3 271 80 LLJ 10 a'JU J ooU' 1-l 41 9.1 61,6 oq o 76 59.8 73.2 92. 9 70.7 7 2.9 75. 1 65.8 83 68. 1 66.6 aq ^la.a 77.9 81.5 62. i, 80. 0 6€,. 7 100.0 78.2 !,0.9 JcJ 661 137 23 73 159 211 331 16 rl 197 21 72 :.i 228 189 134 1C) 2 o 12 4 11 62 19 6 160 83.7 18 63. 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I 67 .2 62.6 60. 6 70. 6 68. 3 55.6 84. 6 6B 361 )q')) a,) 225 ai),)LJ 261 1B 17 {6 ooLO 30 Binclika iioyama Giyeima Gbe i ka Nj agor Bunabu Matama Kpetema Kavoina Kpakpakiya Jabarua Mbaoma 85. 7n:JJ 58. 6') cl ,I 7., t7u lTi I tn lT'.t 18rt rui t8: t 8.r I tt4 IH; DL, : rl,) .0 61. r ilu, r_l J,l r-l 7ri.-l 60.6 ,lt ii )l ': t-\ o I ro 6.1 {tt 1 r)8 .ti 1 -L)a 147 ,i26e8 \1 I rrlr, nilt t rtttt Ee L,:lrrt F'e -l .walrurr (i:' t'tl ,: I Goi'cie I i Brrarri& I I-;oama I I tli\Ee 1ciluIt hpr,,riultti N,j aglr,:ma iioacl.l rili Palace Tul'.-\i_ "i') 1E :,) ,jlJ .i r I .I ,l -l .l 10i 8.1 .)') '!.0 il [r t; l (.7 I L7T'r: ;lr.)(-l 7tr7(i Ct: I 100"n Itig8g i9:111 rt' ,qt c, d ri,l'i i.l I i I l "\rlr \-11-\ 111 sr .r11,111i r_)F i1[)r- L i'5 Cli i.AriGIL JTALE i \'Eli]lECl IN IiIEAT]lE\T (-rr- l:;[:,rA I e 1l HIIEFi BASINS (5IEI{RA LEUI\]E) l,'Ll.rlir. AliY - )lAii( ll I Jli] Team i i i Iages treatr:d ['errsrts Treale,l % f ablet- s r1 IIi l0:' ltoI +(' 185 r 398u 1.1;uD 2ti!r81jt l _,l5rr ll.;t 168 1v 2il:,1 '1 ;) (' rt Ct 9'J05 7U.8 I iiri9 I ',) 0 TC}T iJ- -1iJ (i+r177 -l7lEir, 73.0 7S'ltru

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Источник Всемирная организация здравоохранения