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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.
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1 UMI 233, Institut de Recherche pour le Développement (IRD), Université Montpellier, INSERM Unité 1175, Montpellier, France
2 UMI 233, Institut de Recherche pour le Développement (IRD), Université Montpellier, INSERM Unité 1175, Montpellier, France; Centre for Research on Filariasis and other Tropical Diseases (CRFilMT), Yaoundé, Cameroon
3 Neurology Department, Central Hospital/Faculty of Medicine & Biomedical Sciences, The University of Yaoundé I, (FMBS-UYI), Yaoundé, Cameroon; Brain Research Africa Initiative, BRAIN, Geneva, Switzerland/Yaoundé, Cameroon
4 Centre for Research on Filariasis and other Tropical Diseases (CRFilMT), Yaoundé, Cameroon