{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T18:31:33Z","timestamp":1790965893667,"version":"4.1.0"},"reference-count":45,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2025,7,26]],"date-time":"2025-07-26T00:00:00Z","timestamp":1753488000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/501100002992","name":"Department for International Development","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002992","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000780","name":"European Union","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001659","name":"German Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001659","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,24]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Buruli ulcer, a neglected tropical disease, is common in West Africa and imposes a significant burden on health systems. Examining epidemiological data is important to guide health systems planning to facilitate control activities in endemic countries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>We aimed to provide a comprehensive description of the clinical epidemiology of a large cohort of polymerase chain reaction-confirmed cases of Buruli ulcer in districts in the middle belt of Ghana over an 18-year period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively analysed demographic and clinical data for affected individuals. Data were collected using World Health Organization standard case-based forms and managed in Microsoft Excel. Descriptive analysis was performed using SPSS and Stata statistical software.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In total, 956 individuals with a median (interquartile range) age of 18 (10\u201335) years were included; 40% (385\/956) of patients with Buruli ulcer were under 15\u2005years. Clinical lesions included ulcers (61.5%), nodules (15.6%), plaques (14%) and osteomyelitis (1.4%). Regarding lesion severity, 38.6% were category I, 32.3% category II and 22.6% category III. Most lesions (51.7%) were located on the lower limbs. There was notable variability in the number of recorded cases across the years, with 2014 witnessing the highest and 2010 the lowest numbers. The Ahafo Ano North district reported the highest number of cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Despite a general decline in case numbers, Ghana continues to be an endemic area for Buruli ulcer. Our findings support the need for policies emphasizing active surveillance for early case detection using integrated approaches. Further investigation into the changing epidemiology of Buruli ulcer is warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ced\/llaf326","type":"journal-article","created":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T10:11:31Z","timestamp":1752747091000},"page":"831-839","source":"Crossref","is-referenced-by-count":3,"title":["Clinical epidemiology of Buruli ulcer disease in Ghana, 2006\u20132024"],"prefix":"10.1093","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4642-789X","authenticated-orcid":false,"given":"Yaw A","family":"Amoako","sequence":"first","affiliation":[{"name":"School of Medical Sciences, Kwame Nkrumah University of Science and Technology , Kumasi ,","place":["Ghana"]},{"name":"Kumasi Centre for Collaborative Research in Tropical Medicine, Kwame Nkrumah University of Science and Technology , Kumasi ,","place":["Ghana"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernadette","family":"Agbavor","sequence":"additional","affiliation":[{"name":"Kumasi Centre for Collaborative Research in Tropical Medicine, Kwame Nkrumah University of Science and Technology , Kumasi ,","place":["Ghana"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Frimpong","sequence":"additional","affiliation":[{"name":"School of Medical Sciences, Kwame Nkrumah University of Science and Technology , Kumasi ,","place":["Ghana"]},{"name":"Kumasi Centre for Collaborative Research in Tropical Medicine, Kwame Nkrumah University of Science and Technology , Kumasi ,","place":["Ghana"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abigail","family":"Agbanyo","sequence":"additional","affiliation":[{"name":"Kumasi Centre for Collaborative Research in Tropical Medicine, Kwame Nkrumah University of Science and Technology , Kumasi ,","place":["Ghana"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aloysius\u00a0D","family":"Loglo","sequence":"additional","affiliation":[{"name":"Kumasi Centre for Collaborative Research in Tropical Medicine, Kwame Nkrumah University of Science and Technology , Kumasi ,","place":["Ghana"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael N","family":"Oppong","sequence":"additional","affiliation":[{"name":"Kumasi Centre for Collaborative Research in Tropical Medicine, Kwame Nkrumah University of Science and Technology , Kumasi ,","place":["Ghana"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philemon B","family":"Antwi","sequence":"additional","affiliation":[{"name":"Kumasi Centre for Collaborative Research in Tropical Medicine, Kwame Nkrumah University of Science and Technology , Kumasi ,","place":["Ghana"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adwoa A","family":"Adu-Gyamfi","sequence":"additional","affiliation":[{"name":"Kumasi Centre for Collaborative Research in Tropical Medicine, Kwame Nkrumah University of Science and Technology , Kumasi ,","place":["Ghana"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth D","family":"Tuwor","sequence":"additional","affiliation":[{"name":"Kumasi Centre for Collaborative Research in Tropical Medicine, Kwame Nkrumah University of Science and Technology , Kumasi ,","place":["Ghana"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael N","family":"Appau","sequence":"additional","affiliation":[{"name":"Kumasi Centre for Collaborative Research in Tropical Medicine, Kwame Nkrumah University of Science and Technology , Kumasi ,","place":["Ghana"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dzifa","family":"Ahiatrogah","sequence":"additional","affiliation":[{"name":"Kumasi Centre for Collaborative Research in Tropical Medicine, Kwame Nkrumah University of Science and Technology , Kumasi ,","place":["Ghana"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kabiru M","family":"Abass","sequence":"additional","affiliation":[{"name":"Agogo Presbyterian Hospital , Agogo ,","place":["Ghana"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Ofori","sequence":"additional","affiliation":[{"name":"Tepa Government Hospital , Tepa ,","place":["Ghana"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Amofa","sequence":"additional","affiliation":[{"name":"Dunkwa Government Hospital , Dunkwa ,","place":["Ghana"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nana K","family":"Kotey","sequence":"additional","affiliation":[{"name":"National Buruli Ulcer Control Programme, Ghana Health Service , Accra ,","place":["Ghana"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thorsten","family":"Thye","sequence":"additional","affiliation":[{"name":"Bernard Nocht Institute of Tropical Medicine , Hamburg ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise","family":"Dekker","sequence":"additional","affiliation":[{"name":"Bernard Nocht Institute of Tropical Medicine , Hamburg ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kingsley","family":"Asiedu","sequence":"additional","affiliation":[{"name":"World Health Organisation , Geneva ,","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Wansbrough-Jones","sequence":"additional","affiliation":[{"name":"St George\u2019s, University of London , London ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ymkje","family":"Stienstra","sequence":"additional","affiliation":[{"name":"University of Groningen, University Medical Centre Groningen, Department of Infectious Diseases , Groningen ,","place":["Netherlands"]},{"name":"Clinical Sciences, Liverpool School of Tropical Medicine , Liverpool ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard O","family":"Phillips","sequence":"additional","affiliation":[{"name":"School of Medical Sciences, Kwame Nkrumah University of Science and Technology , Kumasi ,","place":["Ghana"]},{"name":"Kumasi Centre for Collaborative Research in Tropical Medicine, Kwame Nkrumah University of Science and Technology , Kumasi ,","place":["Ghana"]},{"name":"Bernard Nocht Institute of Tropical Medicine , Hamburg ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,7,26]]},"reference":[{"key":"2026042410420716000_llaf326-B1","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-030-11114-4","volume-title":"Buruli Ulcer: Mycobacterium ulcerans Disease","author":"Pluschke","year":"2019"},{"key":"2026042410420716000_llaf326-B2","doi-asserted-by":"crossref","first-page":"2183","DOI":"10.3201\/eid2512.190427","article-title":"Global epidemiology of Buruli ulcer, 2010\u20132017, and analysis of 2014 WHO programmatic targets","volume":"25","author":"Omansen","year":"2019","journal-title":"Emerg Infect Dis"},{"key":"2026042410420716000_llaf326-B3","doi-asserted-by":"crossref","first-page":"e84983","DOI":"10.7554\/eLife.84983","article-title":"Statistical modeling based on structured surveys of Australian native possum excreta harboring Mycobacterium ulcerans predicts Buruli ulcer occurrence in humans","volume":"12","author":"Vandelannoote","year":"2023","journal-title":"Elife"},{"key":"2026042410420716000_llaf326-B4","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1111\/1742-6723.14235","article-title":"Buruli ulcer: a neglected tropical disease in the Barwon region of Victoria, Australia. An emerging public health threat with local and national ramifications","volume":"35","author":"Bartley","year":"2023","journal-title":"Emerg Med Australas"},{"key":"2026042410420716000_llaf326-B5","doi-asserted-by":"crossref","first-page":"e422","DOI":"10.1016\/S2214-109X(14)70223-2","article-title":"Clinical epidemiology of laboratory-confirmed Buruli ulcer in Benin: a cohort study","volume":"2","author":"Vincent","year":"2014","journal-title":"Lancet Glob Health"},{"key":"2026042410420716000_llaf326-B6","doi-asserted-by":"crossref","first-page":"100442","DOI":"10.1016\/j.jctube.2024.100442","article-title":"Implementation of an integrated control programme for neglected tropical diseases of the skin in Ghana: the essential role of the laboratory","volume":"35","author":"Agbanyo","year":"2024","journal-title":"J Clin Tuberc Other Mycobact Dis"},{"key":"2026042410420716000_llaf326-B7","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1186\/1471-2334-13-416","article-title":"Incidence, clinical spectrum, diagnostic features, treatment and predictors of paradoxical reactions during antibiotic treatment of Mycobacterium ulcerans infections","volume":"13","author":"O\u2019Brien","year":"2013","journal-title":"BMC Infect Dis"},{"key":"2026042410420716000_llaf326-B8","doi-asserted-by":"crossref","first-page":"341","DOI":"10.5694\/mja12.10087","article-title":"Epidemiology, clinical features and diagnosis of Mycobacterium ulcerans in an Australian population","volume":"196","author":"Boyd","year":"2012","journal-title":"Med J Aust"},{"key":"2026042410420716000_llaf326-B9","doi-asserted-by":"crossref","first-page":"636","DOI":"10.1186\/s12879-014-0636-7","article-title":"Primary cultivation: factors affecting contamination and Mycobacterium ulcerans growth after long turnover time of clinical specimens","volume":"14","author":"Bratschi","year":"2014","journal-title":"BMC Infect Dis"},{"key":"2026042410420716000_llaf326-B10","doi-asserted-by":"crossref","first-page":"e0003437","DOI":"10.1371\/journal.pntd.0003437","article-title":"Source tracking Mycobacterium ulcerans infections in the Ashanti region, Ghana","volume":"9","author":"Narh","year":"2015","journal-title":"PLOS Negl Trop Dis"},{"key":"2026042410420716000_llaf326-B11","doi-asserted-by":"crossref","first-page":"1653","DOI":"10.3201\/eid1311.061369","article-title":"Mycobacterium ulcerans in mosquitoes captured during outbreak of Buruli ulcer, southeastern Australia","volume":"13","author":"Johnson","year":"2007","journal-title":"Emerg Infect Dis"},{"key":"2026042410420716000_llaf326-B12","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1038\/s41564-023-01553-1","article-title":"Mosquitoes provide a transmission route between possums and humans for Buruli ulcer in southeastern Australia","volume":"9","author":"Mee","year":"2024","journal-title":"Nat Microbiol"},{"key":"2026042410420716000_llaf326-B13","doi-asserted-by":"crossref","first-page":"e108","DOI":"10.1371\/journal.pmed.0020108","article-title":"Buruli ulcer (M. ulcerans infection): new insights, new hope for disease control","volume":"2","author":"Johnson","year":"2005","journal-title":"PLoS Med"},{"key":"2026042410420716000_llaf326-B14","doi-asserted-by":"crossref","first-page":"e3457","DOI":"10.1371\/journal.pntd.0003457","article-title":"Effectiveness of routine BCG vaccination on buruli ulcer disease: a case\u2013control study in the Democratic Republic of Congo, Ghana and Togo","volume":"9","author":"Phillips","year":"2015","journal-title":"PLOS Negl Trop Dis"},{"key":"2026042410420716000_llaf326-B15","doi-asserted-by":"crossref","first-page":"e2868","DOI":"10.1371\/journal.pntd.0002868","article-title":"A severe case of Buruli ulcer disease with pleural effusions","volume":"8","author":"Sarfo","year":"2014","journal-title":"PLOS Negl Trop Dis"},{"key":"2026042410420716000_llaf326-B16","doi-asserted-by":"crossref","first-page":"4","DOI":"10.4314\/gmj.v45i1.68914","article-title":"Surgical management of Buruli ulcer disease: a four-year experience from four endemic districts in Ghana","volume":"45","author":"Adu","year":"2011","journal-title":"Ghana Med J"},{"key":"2026042410420716000_llaf326-B17","doi-asserted-by":"crossref","first-page":"1161","DOI":"10.1128\/AAC.02165-13","article-title":"Clinical and bacteriological efficacy of rifampin\u2013streptomycin combination for two weeks followed by rifampin and clarithromycin for six weeks for treatment of Mycobacterium ulcerans disease","volume":"58","author":"Phillips","year":"2014","journal-title":"Antimicrob Agents Chemother"},{"key":"2026042410420716000_llaf326-B18","doi-asserted-by":"crossref","first-page":"3678","DOI":"10.1128\/AAC.00299-10","article-title":"Clinical efficacy of combination of rifampin and streptomycin for treatment of Mycobacterium ulcerans disease","volume":"54","author":"Sarfo","year":"2010","journal-title":"Antimicrob Agents Chemother"},{"key":"2026042410420716000_llaf326-B19","doi-asserted-by":"crossref","first-page":"1259","DOI":"10.1016\/S0140-6736(20)30047-7","article-title":"Rifampicin and clarithromycin (extended release) versus rifampicin and streptomycin for limited Buruli ulcer lesions: a randomised, open-label, non-inferiority phase 3 trial","volume":"395","author":"Phillips","year":"2020","journal-title":"Lancet"},{"key":"2026042410420716000_llaf326-B20","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1186\/s40249-021-00891-8","article-title":"Mental health and quality of life burden in Buruli ulcer disease patients in Ghana","volume":"10","author":"Amoako","year":"2021","journal-title":"Infect Dis Poverty"},{"key":"2026042410420716000_llaf326-B21","doi-asserted-by":"crossref","first-page":"e0009454","DOI":"10.1371\/journal.pntd.0009454","article-title":"Caregiver burden in Buruli ulcer disease: evidence from Ghana","volume":"15","author":"Amoako","year":"2021","journal-title":"PLOS Negl Trop Dis"},{"key":"2026042410420716000_llaf326-B22","doi-asserted-by":"crossref","first-page":"e0012093","DOI":"10.1371\/journal.pntd.0012093","article-title":"Stigma experiences, effects and coping among individuals affected by Buruli ulcer and yaws in Ghana","volume":"18","author":"Tuwor","year":"2024","journal-title":"PLOS Negl Trop Dis"},{"key":"2026042410420716000_llaf326-B23","doi-asserted-by":"crossref","first-page":"117094","DOI":"10.1016\/j.socscimed.2024.117094","article-title":"The role of economic factors in shaping and constituting the household burden of neglected tropical diseases of the skin: qualitative findings from Ghana and Ethiopia","volume":"356","author":"Hailemichael","year":"2024","journal-title":"Soc Sci Med"},{"key":"2026042410420716000_llaf326-B24","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1186\/s12879-019-3845-2","article-title":"Decrease in Mycobacterium ulcerans disease (Buruli ulcer) in the Lalo district of B\u00e9nin (West Africa)","volume":"19","author":"Anagonou","year":"2019","journal-title":"BMC Infect Dis"},{"key":"2026042410420716000_llaf326-B25","doi-asserted-by":"crossref","first-page":"e19","DOI":"10.1017\/S0950268818002662","article-title":"The changing epidemiology worldwide of Mycobacterium ulcerans","volume":"147","author":"O\u2019Brien","year":"2018","journal-title":"Epidemiol Infect"},{"key":"2026042410420716000_llaf326-B26","doi-asserted-by":"crossref","first-page":"e0004005","DOI":"10.1371\/journal.pntd.0004005","article-title":"Clinical epidemiology of Buruli ulcer from Benin (2005\u20132013): effect of time-delay to diagnosis on clinical forms and severe phenotypes","volume":"9","author":"Capela","year":"2015","journal-title":"PLOS Negl Trop Dis"},{"key":"2026042410420716000_llaf326-B27","doi-asserted-by":"crossref","first-page":"e2252","DOI":"10.1371\/journal.pntd.0002252","article-title":"Geographic distribution, age pattern and sites of lesions in a cohort of Buruli ulcer patients from the Map\u00e9 Basin of Cameroon","volume":"7","author":"Bratschi","year":"2013","journal-title":"PLOS Negl Trop Dis"},{"key":"2026042410420716000_llaf326-B28","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1016\/j.actatropica.2016.12.023","article-title":"Characteristics and epidemiological profile of Buruli ulcer in the district of Tiassal\u00e9, south C\u00f4te d\u2019Ivoire","volume":"175","author":"N\u2019Krumah","year":"2017","journal-title":"Acta Trop"},{"key":"2026042410420716000_llaf326-B29","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1111\/j.1365-3156.2007.01990.x","article-title":"Diagnosis of Mycobacterium ulcerans infection (Buruli ulcer) at a treatment centre in Ghana: a retrospective analysis of laboratory results of clinically diagnosed cases","volume":"13","author":"Mensah-Quainoo","year":"2008","journal-title":"Trop Med Int Health"},{"key":"2026042410420716000_llaf326-B30","doi-asserted-by":"crossref","first-page":"e0006560","DOI":"10.1371\/journal.pntd.0006560","article-title":"Laboratory confirmation of Buruli ulcer cases in Ghana, 2008\u20132016","volume":"12","author":"Yeboah-Manu","year":"2018","journal-title":"PLOS Negl Trop Dis"},{"key":"2026042410420716000_llaf326-B31","author":"World Health Organization"},{"key":"2026042410420716000_llaf326-B32","doi-asserted-by":"crossref","first-page":"e0007689","DOI":"10.1371\/journal.pntd.0007689","article-title":"Paradoxical reactions in Buruli ulcer after initiation of antibiotic therapy: relationship to bacterial load","volume":"13","author":"Frimpong","year":"2019","journal-title":"PLOS Negl Trop Dis"},{"key":"2026042410420716000_llaf326-B33","doi-asserted-by":"crossref","first-page":"100415","DOI":"10.1016\/j.jctube.2024.100415","article-title":"Clinical and microbiological predictors of healing in Buruli ulcer disease","volume":"34","author":"Agbavor","year":"2024","journal-title":"J Clin Tuberc Other Mycobact Dis"},{"key":"2026042410420716000_llaf326-B34","doi-asserted-by":"crossref","first-page":"e0005695","DOI":"10.1371\/journal.pntd.0005695","article-title":"Clearance of viable Mycobacterium ulcerans from Buruli ulcer lesions during antibiotic treatment as determined by combined 16S rRNA reverse transcriptase\/IS 2404 qPCR assay","volume":"11","author":"Sarpong-Duah","year":"2017","journal-title":"PLOS Negl Trop Dis"},{"key":"2026042410420716000_llaf326-B35","doi-asserted-by":"crossref","first-page":"e0010908","DOI":"10.1371\/journal.pntd.0010908","article-title":"A combined effort of 11 laboratories in the WHO African region to improve quality of Buruli ulcer PCR diagnosis: the \u2018BU-LABNET\u2019","volume":"16","author":"Marion","year":"2022","journal-title":"PLOS Negl Trop Dis"},{"key":"2026042410420716000_llaf326-B36","author":"World Health Organization"},{"key":"2026042410420716000_llaf326-B37","doi-asserted-by":"crossref","first-page":"1086","DOI":"10.1186\/s12889-023-16015-w","article-title":"Role and capacity needs of community based surveillance volunteers in the integrated management of skin neglected tropical diseases (skin NTDs): a qualitative study from central Ghana","volume":"23","author":"Owusu","year":"2023","journal-title":"BMC Public Health"},{"key":"2026042410420716000_llaf326-B38","doi-asserted-by":"crossref","first-page":"644","DOI":"10.1016\/0035-9203(93)90272-R","article-title":"Epidemiology of Buruli ulcer in Amansie West district, Ghana","volume":"87","author":"Amofah","year":"1993","journal-title":"Trans R Soc Trop Med Hyg"},{"key":"2026042410420716000_llaf326-B39","doi-asserted-by":"crossref","first-page":"e0005800","DOI":"10.1371\/journal.pntd.0005800","article-title":"The location of Australian Buruli ulcer lesions: implications for unravelling disease transmission","volume":"11","author":"Yerramilli","year":"2017","journal-title":"PLOS Negl Trop Dis"},{"key":"2026042410420716000_llaf326-B40","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1111\/j.1346-8138.2012.01543.x","article-title":"Buruli ulcer and current situation in Japan: a new emerging cutaneous Mycobacterium infection","volume":"39","author":"Yotsu","year":"2012","journal-title":"J Dermatol"},{"key":"2026042410420716000_llaf326-B41","doi-asserted-by":"crossref","first-page":"e0002833","DOI":"10.1371\/journal.pgph.0002833","article-title":"Improving experiences of neglected tropical diseases of the skin: mixed methods formative research for development of a complex intervention in Atwima Mponua district, Ghana","volume":"4","author":"Okyere","year":"2024","journal-title":"PLOS Glob Public Health"},{"key":"2026042410420716000_llaf326-B42","doi-asserted-by":"crossref","first-page":"e0002809","DOI":"10.1371\/journal.pgph.0002809","article-title":"Development of an integrated and decentralised skin health strategy to improve experiences of skin neglected tropical diseases and other skin conditions in Atwima Mponua district","volume":"4","author":"Phillips","year":"2024","journal-title":"PLOS Glob Public Health"},{"key":"2026042410420716000_llaf326-B43","doi-asserted-by":"crossref","first-page":"e0011175","DOI":"10.1371\/journal.pntd.0011175","article-title":"Beliefs, attitudes and practices towards scabies in central Ghana","volume":"17","author":"Amoako","year":"2023","journal-title":"PLOS Negl Trop Dis"},{"key":"2026042410420716000_llaf326-B44","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1111\/tmi.13989","article-title":"Traditional healers\u2019 perception on scabies causation and management in Ghana","volume":"29","author":"Tehrani","year":"2024","journal-title":"Trop Med Int Health"},{"key":"2026042410420716000_llaf326-B45","doi-asserted-by":"crossref","first-page":"e0004825","DOI":"10.1371\/journal.pntd.0004825","article-title":"Cultural understanding of wounds, buruli ulcers and their management at the Obom Sub-district of the Ga South Municipality of the Greater Accra region of Ghana","volume":"10","author":"Koka","year":"2016","journal-title":"PLOS Negl Trop Dis"}],"container-title":["Clinical and Experimental Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ced\/advance-article-pdf\/doi\/10.1093\/ced\/llaf326\/63857953\/llaf326.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ced\/article-pdf\/51\/5\/831\/63857953\/llaf326.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ced\/article-pdf\/51\/5\/831\/63857953\/llaf326.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T14:42:30Z","timestamp":1777041750000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ced\/article\/51\/5\/831\/8214275"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,26]]},"references-count":45,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2025,7,26]]},"published-print":{"date-parts":[[2026,4,24]]}},"URL":"https:\/\/doi.org\/10.1093\/ced\/llaf326","relation":{},"ISSN":["0307-6938","1365-2230"],"issn-type":[{"value":"0307-6938","type":"print"},{"value":"1365-2230","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,5]]},"published":{"date-parts":[[2025,7,26]]}}}