Onchocerciasis Case Study

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1- Discuss the social and ecological factors that shape the health status of the population affected by onchocerciasis.
Ecological factors
As the black fly is the vector transmitting onchocerciasis, the ecological factors are closely related to the living habits of black flies.
 Oxygenated, Flowing water
Most female black flies lay eggs in or near the fast-flowing rivers and streams. After taking once human blood, female can develop a single batch of 200-500 eggs (Purdue University, 2008). In Africa, the water level will rise and the water movement will increase during summer days, this condition accounts for the ideal breeding habitat for black flies.
 Climate
Black flies live in place with typical hot (sometimes warm) and humid tropical weather, which also explains why large-scale onchocerciasis endemics usually take place in tropical areas of Africa and Central America. If the temperature is too low for black flies to survive, they can …show more content…

Poverty always contributes to problems in people’s health and well-being. According to the video we watched in class, many Africans live in poor housing and sanitary conditions. The houses are mostly made of grass and stones, without door or window net. This will create opportunities for the blackflies to easily enter the houses, thus increase the risk of onchocerciasis infection. In terms of sanitation, people in these African countries usually have limited access to clean and portable water in their houses, so they sometimes go to the river to directly drink and use the water there. As black flies (i.e. the vector of the onchocerciasis) feeds near the river during the day, the people who regularly use the river water are at higher risk for disease infection; these flies will bite the skin and extract the blood from the persons who are near the river, in turn to deposit Onchocerca infective larvae into the skin and to infect these

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