onchocerciasis, definition, onchocerca volvulus, epidemiology of onchocerciasis, management of onchocerciasis, prevention of onchocerciasis, pathology of onchocerciasis
• Onchocerciasis also known as ‘’river blindness’’ and ‘’Robles disease.’’
• It is a parasitic disease caused by infection by Onchocerca volvulus, a nematode (roundworm).
• It is the world's second-leading infectious cause of blindness.
• The parasite is transmitted to humans through the bite of a black fly of the genus Simulium.
• The larval nematodes spread throughout the body
Figure 1 Onchocerciasis
CAUSES
The disease is caused by filaria of O Volvulus.
Figure 2 O Volvulus.
LIFE CYCLE OF O. VOLVULUS
1. A Simulium female black fly takes a blood meal on an infected human host, and ingests microfilaria
2. microfilaria enter the gut and thoracic flight muscles of the black fly
3. progressing into the first larval stage.
4. The larvae mature into the second larval stage
5. move to the proboscis and into the saliva in its third larval stage
6. Maturation takes about 7 days.
7. After maturing, adult male worms mate with female worms in the subcutaneous tissue to produce Simulium female black fly takes a blood meal on an infected human host, and ingests between 700 and 1,500 microfilaria per day.
8. the black flies only feed in the day
Figure 3 LIFE CYCLE OF O. VOLVULUS
SIGNS AND SYMPTOMS
Skin involvement
• Typically consists of intense itching, swelling, and inflammation.
• Skin atrophy - loss of elasticity, the skin resembles tissue paper 'lizard skin' appearance.
• Depigmentation
• Nodules under the skin form around the adult worms.
Ocular involvement
• may involve any part of the eye from conjunctiva and cornea to uvea and posterior segment, including the retina and optic nerve
• cornea: Punctate keratitis
• can lead to visual impairment and permanent blindness
Figure 4 'lizard skin'
Onchocerciasis – the disease and its impact
Onchocercal skin disease also has an important socio-cultural impact. People with the disease often have low self esteem, experience social isolation, and worry that they will never marry. Children are distracted in school due to constant itching.
Blindness is caused when microfilariae migrate to the eye and die, causing an inflammatory response. Over time the affected area becomes opaque, leading to impaired vision and eventually blindness.
TREATMENT
• infected people can be treated with two doses of ivermectin,
• six months apart, repeated every three years
• Ivermectin treatment is particularly effective because it only needs to be taken once or twice a year
PREVENTION
Primary prevention:
• Vector control- applications of environmentally safe insecticides to the black flies breeding areas during rainy seasons.
• Mass treatment with Ivermectin.
• Various control programs aim to stop Onchocerciasis from being a public health problem
• larvicide spraying of fast-flowing rivers to control black fly populations
• The disease can be controlled by actions at the primary level with the village health worker administering the drug according to t
onchocerciasis, definition, onchocerca volvulus, epidemiology of onchocerciasis, management of onchocerciasis, prevention of onchocerciasis, pathology of onchocerciasis
• Onchocerciasis also known as ‘’river blindness’’ and ‘’Robles disease.’’
• It is a parasitic disease caused by infection by Onchocerca volvulus, a nematode (roundworm).
• It is the world's second-leading infectious cause of blindness.
• The parasite is transmitted to humans through the bite of a black fly of the genus Simulium.
• The larval nematodes spread throughout the body
Figure 1 Onchocerciasis
CAUSES
The disease is caused by filaria of O Volvulus.
Figure 2 O Volvulus.
LIFE CYCLE OF O. VOLVULUS
1. A Simulium female black fly takes a blood meal on an infected human host, and ingests microfilaria
2. microfilaria enter the gut and thoracic flight muscles of the black fly
3. progressing into the first larval stage.
4. The larvae mature into the second larval stage
5. move to the proboscis and into the saliva in its third larval stage
6. Maturation takes about 7 days.
7. After maturing, adult male worms mate with female worms in the subcutaneous tissue to produce Simulium female black fly takes a blood meal on an infected human host, and ingests between 700 and 1,500 microfilaria per day.
8. the black flies only feed in the day
Figure 3 LIFE CYCLE OF O. VOLVULUS
SIGNS AND SYMPTOMS
Skin involvement
• Typically consists of intense itching, swelling, and inflammation.
• Skin atrophy - loss of elasticity, the skin resembles tissue paper 'lizard skin' appearance.
• Depigmentation
• Nodules under the skin form around the adult worms.
Ocular involvement
• may involve any part of the eye from conjunctiva and cornea to uvea and posterior segment, including the retina and optic nerve
• cornea: Punctate keratitis
• can lead to visual impairment and permanent blindness
Figure 4 'lizard skin'
Onchocerciasis – the disease and its impact
Onchocercal skin disease also has an important socio-cultural impact. People with the disease often have low self esteem, experience social isolation, and worry that they will never marry. Children are distracted in school due to constant itching.
Blindness is caused when microfilariae migrate to the eye and die, causing an inflammatory response. Over time the affected area becomes opaque, leading to impaired vision and eventually blindness.
TREATMENT
• infected people can be treated with two doses of ivermectin,
• six months apart, repeated every three years
• Ivermectin treatment is particularly effective because it only needs to be taken once or twice a year
PREVENTION
Primary prevention:
• Vector control- applications of environmentally safe insecticides to the black flies breeding areas during rainy seasons.
• Mass treatment with Ivermectin.
• Various control programs aim to stop Onchocerciasis from being a public health problem
• larvicide spraying of fast-flowing rivers to control black fly populations
• The disease can be controlled by actions at the primary level with the village health worker administering the drug according to t
Leishmaniasis is caused by a protozoa parasite from over 20 Leishmania species. Over 90 sandfly species are known to transmit Leishmania parasites. There are 3 main forms of the disease:
Visceral leishmaniasis (VL), also known as kala-azar is fatal if left untreated in over 95% of cases. It is characterized by irregular bouts of fever, weight loss, enlargement of the spleen and liver, and anaemia. Most cases occur in Brazil, East Africa and in South-East Asia. An estimated 50 000 to 90 000 new cases of VL occur worldwide each year out of which only an estimated 25–45% are reported to WHO. In 2017, more than 95% of new cases reported to WHO occurred in 10 countries: Bangladesh, Brazil, China, Ethiopia, India, Kenya, Nepal, Somalia, South Sudan and Sudan.
Cutaneous leishmaniasis (CL) is the most common form of leishmaniasis and causes skin lesions, mainly ulcers, on exposed parts of the body, leaving life-long scars and serious disability or stigma. About 95% of CL cases occur in the Americas, the Mediterranean basin, the Middle East and Central Asia. In 2017 over 95% of new CL cases occurred in 6 countries: Afghanistan, Algeria, Brazil, Colombia, Iran (Islamic Republic of), Iraq and the Syrian Arab Republic. It is estimated that between 600 000 to 1 million new cases occur worldwide annually.
Mucocutaneous leishmaniasis leads to partial or total destruction of mucous membranes of the nose, mouth and throat. Over 90% of mucocutaneous leishmaniasis cases occur in Bolivia (the Plurinational State of), Brazil, Ethiopia and Peru.
Transmission
Leishmania parasites are transmitted through the bites of infected female phlebotomine sandflies, which feed on blood to produce eggs. The epidemiology of leishmaniasis depends on the characteristics of the parasite and sandfly species, the local ecological characteristics of the transmission sites, current and past exposure of the human population to the parasite, and human behaviour. Some 70 animal species, including humans, have been found as natural reservoir hosts of Leishmania parasites.
(WHO, 2019)
https://www.who.int/news-room/fact-sheets/detail/leishmaniasis
Hookworm is one of the most important small intestinal nematodes causing iron deficiency anemia. This PPT illustrates hookworms associated with human diseases, life cycle, pathogenesis, laboratory diagnosis, treatment and prevention of hookworm infection.
Leishmaniasis is caused by a protozoa parasite from over 20 Leishmania species. Over 90 sandfly species are known to transmit Leishmania parasites. There are 3 main forms of the disease:
Visceral leishmaniasis (VL), also known as kala-azar is fatal if left untreated in over 95% of cases. It is characterized by irregular bouts of fever, weight loss, enlargement of the spleen and liver, and anaemia. Most cases occur in Brazil, East Africa and in South-East Asia. An estimated 50 000 to 90 000 new cases of VL occur worldwide each year out of which only an estimated 25–45% are reported to WHO. In 2017, more than 95% of new cases reported to WHO occurred in 10 countries: Bangladesh, Brazil, China, Ethiopia, India, Kenya, Nepal, Somalia, South Sudan and Sudan.
Cutaneous leishmaniasis (CL) is the most common form of leishmaniasis and causes skin lesions, mainly ulcers, on exposed parts of the body, leaving life-long scars and serious disability or stigma. About 95% of CL cases occur in the Americas, the Mediterranean basin, the Middle East and Central Asia. In 2017 over 95% of new CL cases occurred in 6 countries: Afghanistan, Algeria, Brazil, Colombia, Iran (Islamic Republic of), Iraq and the Syrian Arab Republic. It is estimated that between 600 000 to 1 million new cases occur worldwide annually.
Mucocutaneous leishmaniasis leads to partial or total destruction of mucous membranes of the nose, mouth and throat. Over 90% of mucocutaneous leishmaniasis cases occur in Bolivia (the Plurinational State of), Brazil, Ethiopia and Peru.
Transmission
Leishmania parasites are transmitted through the bites of infected female phlebotomine sandflies, which feed on blood to produce eggs. The epidemiology of leishmaniasis depends on the characteristics of the parasite and sandfly species, the local ecological characteristics of the transmission sites, current and past exposure of the human population to the parasite, and human behaviour. Some 70 animal species, including humans, have been found as natural reservoir hosts of Leishmania parasites.
(WHO, 2019)
https://www.who.int/news-room/fact-sheets/detail/leishmaniasis
Hookworm is one of the most important small intestinal nematodes causing iron deficiency anemia. This PPT illustrates hookworms associated with human diseases, life cycle, pathogenesis, laboratory diagnosis, treatment and prevention of hookworm infection.
Zoology as a course of study by uwamose martinsUwamose MNO
Zoology is a thriving, multidisciplinary science that is central to our understanding of the world. It is the study of animals and their ecology, behavior, structure, physiology, anatomy, embryology, development, origin, distributions, evolution, and relationships with other organisms. The study encompasses the workings of the entire animal kingdom, from viruses to horses, and includes a vast array of disciplines. Zoology doesn’t limit its graduates to a particular discipline but rather its knowledge is central to the total understanding of the world.
Rabies is an acute viral infection of the nervous system that primarily affects dogs and can also be transmitted to humans. It is a zoonotic infectious disease caused by a virus. The word Rabies originated about 3000BC from the word Rabha, which means, “violence”
This was inspired by sadness, doubt, and the troubles and challenges that I go through from time to time. When I feel this way, I do the exact opposite and my spirits are lifted. I hope you will do the same after watching this.
Thank you!
Newlife India has done research on Genetics of ovarian failure. Maire Peter has done the research on the same. By virtue of the extenssive reasearch we are able to give best results on IVF treatments.
Filarial worms are thread-like nematodes of which there are at least 8 species for which humans, especially in tropical regions, are the definitive host
this is power point presentation for ophthalmic assistant student regarding basic knowledge for ocular parasites like, LOA LOA, RIVER BLINDNESS , ONCHOCERCIASIS , TOXOPLASMOSIS & TOXOCARIASIS etc. which consist basic test , epidemiology, lab investigation, culture & management .
what is loa loa.
loa loa is eradicated mostly from from Asian country like India, Nepal, China etc. , the presentation is for 2nd year O.A students & EHW. which shows basic....knowledge
Largest viruses that infect vertebrates
Can be seen under light microscope
Poxvirus diseases are characterized by skin lesions – localized or generalized
Important diseases caused by poxviruses are-
Smallpox
Monkeypox
Cowpox
Tanapox
Molluscum contagiosum
Furuncularmyiasis in a Child Caused by Flesh Fly (Wohlfahrtia magnifica) and ...inventionjournals
We report the case of a two-year-old boy with hyper eosinophilia who presented with a swelling on his left scapular that had persisted for more than three weeks. A second-stage larva of Wohlfahrtia magnifica was found with associated bacterial organisms such as Proteus vulgaris, Staphylococcus aureus and Staphylococcus epidermidis, leading to the diagnosis of cutaneous myiasis. Following removal of the larva and secondary bacterial therapy, the clinical and hematological manifestations returned to normal. Diagnosis of myiasis and associated secondary infections should always be kept in mind in the event of clinical signs of furuncular lesions, pain, fever, exudation which may be accompanied by eosinophilia.
Human evolution is the evolutionary process leading up to the appearance of modern humans. It is the process by which human beings developed on Earth from now-extinct primates. It involves the lengthy process of change by which people originated from apelike ancestors. The study of human evolution involves many scientific disciplines, including physical anthropology, primatology, archaeology, ethology, evolutionary psychology, embryology and genetics. Scientific evidence shows that the physical and behavioural traits shared by all people originated from apelike ancestors and evolved over a period of approximately six million years.
TABLE OF CONTENT
1.0 Introduction
2.0 Evolutionary Theory
3.0 Process of Evolution
4.0 History of Human Evolution
5.0 Paleoanthropology
6.0 Evidence of Evolution
6.1 Evidence from comparative physiology
6.2 Evidence from comparative anatomy
6.3 Evidence from comparative embryology
6.4 Evidence from comparative morphology
6.5 Evidence from vestigial organs
6.6 Genetics
6.7 Evidence from Molecular Biology
6.8 Evidence from the Fossil Record
7.0 Divergence of the Human Clade from other Great Apes
8.0 Anatomical changes
8.1 Anatomy of bipedalism
8.2 Encephalization
8.3 Sexual dimorphism
8.4 Other changes
9.0 Genus Homo
10.0 Homo Sapiens Taxonomy
Mosquitoes belong to the insect family Culicidae, with over 3,000 species known to exist throughout the world. They are blood-suckers and because of this habit, they may vector and transmit some of the most significant infectious disease of humans and animals alike including malaria, equine encephalitis, dog heartworm, filarial nematodes, e.t.c. mosquitoes can be found in a wide variety of habitats including stagnant water, swamps, weedy sides of streams, e.t.c. changes in the environment such as rainfall changes, agricultural changes, and human habitations can however afftect their distribution. The control of mosquitoes involves the use of Insecticides-treated (bed) nets (ITNs), predators such as mosquito fish, Gambusia, larvacides, Indoor Residual Spraying (IRS), use of mosquitos’ repellents, and the elimination of breeding sites. In order for the control strategies to be effective, studies on the biology and ecology of mosquitoes should be encouraged.
Tick-borne parasitic infections are serious problem in the world as the population of ticks is increasing with people building homes in areas where ticks and their host live. Ticks are second to mosquitoes as an excellent vector for vector-borne diseases. There are only two known tick-borne parasitic infections: Babesiosis and Theileriosis. Babesiosis is due to the tick-borne parasites of the Babesia protozoa genus while Theileriosis is caused by Theilerias species which are obligate protozoan parasites. They are both transmitted by the Ixodid ticks. The symptoms of the infection includes lacrimation, nasal discharge, muscle pains etc. Tick-borne parasitic diseases can be prevented by avoiding places where ticks often live and also by using insect repellents.
Carpenter ants seminar work by Uwamose martinsUwamose MNO
Carpenter ants are social insects, with colonies made up of several different forms or “castes”. They are so-called carpenter ants because of their habit of chewing wood to create nest sites. They do not eat wood, like termites, but excavate it with their strong, saw-like jaws to create random galleries where they nest. They play ecosystem roles particularly by aiding in the decomposition of decaying tees. Carpenter ants belong to the subfamily Formicinae (Genus: Camponotus)
Acid rain and aquatic organisms by Uwamose martinUwamose MNO
Acid rain is a broad term used to describe several ways that acids fall out of the atmosphere. Acid rain is a phenomenon that results from industrial activities where sulfuric and nitric acids are produced by the release of sulfuric oxides (SOx) and nitrogen oxides (NOx) into the atmosphere. This induces the acidification of inland waters which results in damage to aquatic ecosystems, including fish. Acid rain flows into streams, lakes, and marshes after falling on forests, fields, buildings, and roads. It also falls directly on aquatic habitats. Acid rain was first reported in Manchester, England, which was an important city during the Industrial Revolution. The term “acid rain” was first used by Robert Angus Smith in 1872.
Rabies is an acute viral infection of the Nervous system, caused by the virus Neurotropic Lyssavirus. The virus is commonly transmitted to man through the bite of a rabid animal. More than 3.3 billon people are at risk of rabies worldwide, with approximately 55,000 deaths estimated per year. Rabies epidermis occurs in Asia with an estimated 31,000 deaths and Africa with an estimated 24,000 deaths. Rabies virus, the agent of the disease is a member of the Rhabdoviridae family (Genus: Lyssavirus). The virus travels to the brain through the peripheral nerves causing acute encephalitis (inflammation of the brain) in warm-blooded animals (man). Early symptoms associated with the virus includes Malaise, headache and fever, progressing to acute pain, restlessness, hyperactivity, uncontrolled excitement, depression, hydrophobia, etc.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
2. Onchocerciasis a River Blindness disease is a chronic parasitic
multi systemic disease caused by the filarial nematode
Onchocerca volvulus.
The parasite causes blindness and severe skin diseases in tropical
regions of the world.
Approximately 18–44 million individuals in the world have
Onchocerciasis infection. It is the second-leading infectious cause
of preventable blindness in the world after Trachoma (WHO
2012).
Man is the only definitive host of this parasite and acquire
infection through the bite of black fly (genus Simulium).
The damage caused by this disease is irreversible. When someone
is blinded by the parasite there is no cure; you can only kill the
parasites.
3. Nigeria is the most endemic country in the world for
Onchocerciasis.
First reported in northern Nigeria in 1908 (Budden 1956).
Endemic areas extend from the North, Southwest & Southeastern
part of the country with highest prevalence in Zamfara, Kwara -
NW Nigeria and Enugu, Imo, Ebonyi - SE Nigeria (Meredith 2012)
The provisional estimates had suggested that 7–10 million Nigerians
are infected with Onchocerca volvulus, approximately 40 million
are at risk of the disease and 120,000 cases of onchocerciasis-related
blindness (WHO 2010).
The disease is lower in individuals between the age of 0–10 years
but increases with a peak in individuals between the age of 20-30
years (Uttah 2010).
4. Presence
Absence
Lakes
States boundaries
Fig. 1: Map showing the presences of Onchocerciasis in Nigeria
Source:WHO 2010
5. The only known vectors of O. volvulus are the female
black flies of the genus Simulium.
The fly bites during daylight hours.
Eggs require fast-running rivers which have well-oxygenated
water for breeding grounds. This is
important because larvae of O. volvulus have an
obligatory aquatic stage during which they require a high
oxygen tension.
Adults emerge after 8-12 days following egg production.
The adult fly has the ability to travel hundreds of
kilometres in flight on wind currents.
Their life span is about 4 weeks.
6. Fig. 2: Female black fly of the genus Simulium
Source:WHO 2010.
7. MORPHOLOGY OF THE
PARASITE
Adult worms are white, opalescent and transparent.
They are slender and blunt at both ends.
They are usually found knotted together in pairs or
groups in subcutaneous tissues.
Males measures 1.9-4.2cm in length and has a coiled tail.
The females are much longer, measuring 33.5-50cm in
length.
Adult worms live long; the female has an average life
span of 8 years.
9. ETIOLOGY: study of the cause of
diseases
Microfilaria invade the midgut of the fly, advance to
the thoracic muscles where they undergo
differentiation into L1 larva within 28 hours after the
blood meal.
They moth twice producing L2 and L3 larva (infective
larva) within 06 hours and 7 days respectively.
Infective L3 larva migrates to the proboscis for future
deposition into human skin during the next blood
meal.
When the Fly bites another person, Infective L3 larvae
are transmitted to human skin.
10. ETIOLOGY (CONT.)
The larvae move under the skin and form nodules where
they develop into adult worms in 12 to 18 months. Adult
worms pair and mate in the human host.
Female Onchocerca gives birth daily to thousands of
microscopic larvae (microfilaria)
Microfilaria released from the nodules traverse the skin
and connective tissue easily.
The most common migration sites are subepidermal
lymphatics and the anterior chamber of the eye.
11. LIFE CYCLE OVERVIEW
Onchocerciasis is transmitted
person to person through the
bites of Simulium black fly
The black flies breed in fast
flowing water and streams.
When a Black fly bites an infected
person, microfilariae are transferred
from the person to the fly.
Between 1-3 weeks the microfilariae
develop in the fly and become infective
larvae.
These are passed to the human host
and the larvae migrate to
subcutaneous tissue, form nodules
and slowly mature into adult worms
vectors.
12. Fig. 4: Life cycle of Onchocercia volvulus
Source: Google images.
13. Fig. 5: Life cycle of Onchocercia volvulus
Source: CDC images.
14. PATHOGENESIS
The adult worms and the microfilariae contribute to the
pathogenesis of Onchocerciasis. Adult worms isolated in nodules
are not directly harmful to the patient, their progeny
(Microfilaria) are responsible for the damage related to
Onchocerciasis.
In some infected persons, 100,000 or more microfilariae die each
day.
Live microfilariae found in the eye do little, but when they die is
the problem. Most microfilariae die as immature worms in the
host.
Inflammatory and immune reaction to dead or dying
microfilariae are responsible for the clinical manifestation.
This causes the most important reason of blindness, which is
sclerosing (scarring) keratitis, a hardening inflammation of the
15. SIGNS AND SYMPTOMS
The symptoms include:
Preventable blindness
Skin rashes
Lesions
Itching
Skin depigmentation
16. Fig. 4: Depigmentation over the skin in later onchocerciasis (Leopard skin).
Source: Google images.
17. Fig. 5: Eye lesions in Onchocerciasis
Source: Google images.
19. DIAGNOSIS
The best method for diagnosis is identification of microfilariae in
bloodless skin snips.
Buttocks and legs are often most heavily infected and are most
likely to yield microfilariae.
A small piece of skin is raise with a needle and clipped with
a razor or scissors.
20. DIAGNOSIS CONT.
In heavily infected individuals, microfilariae can even be found in
the blood, sputum and urine.
Fig. 7: Living microfilariae of Onchocerca volvulus on urine
sample
Source: Google images
Fig. 8: Living microfilariae of Onchocerca volvulus in blood
sample
Source: Google images
21. TREATMENT
The treatment is with a single of Ivermectin (150
microglkg).
It kills the microfilaria rapidly,
Reduces production of microfilaria from adult worm for
several month.
After treatment, microfilaria disappears from the skin
within 1 week and from eye within 3 months.
NOTE: There is no cure; once someone is blind by the
parasite, you can only kill the parasites
21
22. PREVENTION AND CONTROL
Primary means of preventing Onchocerciasis in Nigeria
include:
1. Vector control – applications of environmentally-safe
insecticides to the black fly's breeding areas
(fast-flowing rivers) during the rainy season.
2. Mass treatment with Ivermectin.
22
23. CONCLUSION
Onchocerciasis is one of the neglected tropical diseases
of public health concern in Nigeria. It is common in rural
area where black flies have favourable environment to
habit and reproduce as the outbreak and spread of this
disease rely on the activities and survival of black fly.
The high prevalence of microfilariae in Nigeria
underscore the need for renewed awareness campaign to
bring the attention of individuals in endemic areas to the
importance of personal protective measures against the
infective bites of the black fly vector. This is also a
wake-up call to health authorities to embark on massive
community treatment with Ivermectin. 23