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- Title
A Second Population-Based Cohort Study in Cameroon Confirms the Temporal Relationship Between Onchocerciasis and Epilepsy.
- Authors
Chesnais, Cédric B; Bizet, Charlotte; Campillo, Jérémy T; Njamnshi, Wepnyu Y; Bopda, Jean; Nwane, Philippe; Pion, Sébastien D; Njamnshi, Alfred K; Boussinesq, Michel
- Abstract
To confirm our earlier evidence of a temporal and dose–response relationship between onchocerciasis and epilepsy, we conducted another cohort study in a different setting in Cameroon. Individuals whose Onchocerca volvulus microfilarial density (Ov -MFD) was measured in 1992–1994 when they were children were revisited in 2019 to determine if they acquired epilepsy. With reference to individuals with no microfilariae in 1992–1994, the relative risks of acquiring epilepsy were 0.96, 2.76, 3.67, and 11.87 in subjects with initial Ov -MFD of 1–7, 8–70, 71–200, and > 200 microfilariae per skin snip, respectively. This study further demonstrates reproducibility using the Bradford Hill's criteria for causality.
- Subjects
CAMEROON; ONCHOCERCIASIS; EPILEPSY; ONCHOCERCA volvulus; COHORT analysis
- Publication
Open Forum Infectious Diseases, 2020, Vol 7, Issue 6, p1
- ISSN
2328-8957
- Publication type
Article
- DOI
10.1093/ofid/ofaa206