Epidemiological assessment of lymphatic filariasis and community awareness in Paikoro local government area, Niger State, Nigeria
摘要
Lymphatic filariasis (LF), a mosquito-borne neglected tropical disease caused by Wuchereria bancrofti, remains a significant public health concern in Nigeria. This study assessed the epidemiological profile and community awareness of LF in Paikoro Local Government Area (LGA), Niger State. A cross-sectional survey was conducted among 1,018 residents across three endemic communities. Clinical examinations, immunochromatographic card tests (ICT), and microscopy were used for diagnosis. A structured questionnaire captured knowledge, attitudes, and practices (KAP) related to LF. Data were analyzed using descriptive statistics and chi-square tests. The overall LF prevalence by ICT was 24.3%, with the highest prevalence in Jeresapai (29.6%). Microfilariae were detected in 36.8% of ICT-positive cases. Males and individuals aged 16–25 had higher infection rates. Clinical manifestations such as hydrocoele (n = 14) and lymphoedema (n = 10) were reported. Knowledge gaps were evident: only 22.8% of respondents correctly identified mosquito bites as the cause of LF. Misconceptions, stigma, and incorrect prevention beliefs were prevalent. Farmers (51%) had the highest infection burden. LF remains endemic in Paikoro LGA, with ongoing transmission despite mass drug administration efforts. Misconceptions and occupational exposure contribute to sustained transmission. Enhanced vector control, health education, and community engagement are essential for LF elimination.