{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T07:27:00Z","timestamp":1781249220076,"version":"3.54.1"},"reference-count":54,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2023,7,29]],"date-time":"2023-07-29T00:00:00Z","timestamp":1690588800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Microorganisms"],"abstract":"<jats:p>Control and treatment programs (CDTI) have been set up nationally in all endemic countries to overcome the impact of onchocerciasis on the affected populations. However, Gabon must still succeed in setting up real onchocerciasis control programs. Here, various database articles have been used to provide the scientific community with a summary document showing the mapping of this disease in Gabon. The articles dealing with onchocerciasis, animal reservoirs, surveillance, and elimination were analyzed. Results showed that little research has been performed. Most studies are concentrated in one region (The area of Lastourville). In addition, we observed that the distribution of the disease varies significantly across the country. Indeed, specific environments present a hyper-endemicity of the disease, while others are meso and hypo-endemic. So, we found some departments with a prevalence ranging from 0% to over 20%; within them, villages had infection levels comprising 10% to 60%, indicating potential hotspots. Vectors activities were studied in some areas. This paper showed the challenges encountered in the country to eliminate this disease. One solution is a deeper understanding of the disease\u2019s bioecology to establish effective health policies to eliminate onchocerciasis in Gabon effectively.<\/jats:p>","DOI":"10.3390\/microorganisms11081946","type":"journal-article","created":{"date-parts":[[2023,7,31]],"date-time":"2023-07-31T01:39:32Z","timestamp":1690767572000},"page":"1946","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Status of Onchocerciasis Elimination in Gabon and Challenges: A Systematic Review"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-1425-3044","authenticated-orcid":false,"given":"Elsa-Rush","family":"Eyang-Assengone","sequence":"first","affiliation":[{"name":"Unit\u00e9 de Recherche en Ecologie de la Sant\u00e9 (URES), Centre Interdisciplinaire de Recherches M\u00e9dicales de Franceville (CIRMF), Franceville BP 769, Gabon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0192-5972","authenticated-orcid":false,"given":"Patrice","family":"Makouloutou-Nzassi","sequence":"additional","affiliation":[{"name":"Unit\u00e9 de Recherche en Ecologie de la Sant\u00e9 (URES), Centre Interdisciplinaire de Recherches M\u00e9dicales de Franceville (CIRMF), Franceville BP 769, Gabon"},{"name":"D\u00e9partement de Biologie et Ecologie Animale, Institut de Recherche en Ecologie Tropicale (IRET\/CENAREST), Libreville BP 13354, Gabon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clark","family":"Mbou-Boutambe","sequence":"additional","affiliation":[{"name":"Unit\u00e9 de Recherche en Ecologie de la Sant\u00e9 (URES), Centre Interdisciplinaire de Recherches M\u00e9dicales de Franceville (CIRMF), Franceville BP 769, Gabon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F\u00e9licien","family":"Bangueboussa","sequence":"additional","affiliation":[{"name":"Unit\u00e9 de Recherche en Ecologie de la Sant\u00e9 (URES), Centre Interdisciplinaire de Recherches M\u00e9dicales de Franceville (CIRMF), Franceville BP 769, Gabon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julienne","family":"Atsame","sequence":"additional","affiliation":[{"name":"Programme de Lutte Contre les Maladies Parasitaires, Minist\u00e8re de la Sant\u00e9 du Gabon, Libreville BP 2434, Gabon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9551-3017","authenticated-orcid":false,"given":"Larson","family":"Boundenga","sequence":"additional","affiliation":[{"name":"Unit\u00e9 de Recherche en Ecologie de la Sant\u00e9 (URES), Centre Interdisciplinaire de Recherches M\u00e9dicales de Franceville (CIRMF), Franceville BP 769, Gabon"},{"name":"D\u00e9partement d\u2019anthropologie, Universit\u00e9 de Durham, South Road, Durham DH1 3LE, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,7,29]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1186\/1756-3305-5-28","article-title":"Impact of Long-Term Treatment of Onchocerciasis with Ivermectin in Kaduna State, Nigeria: First Evidence of the Potential for Elimination in the Operational Area of the African Programme for Onchocerciasis Control","volume":"5","author":"Tekle","year":"2012","journal-title":"Parasit. 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