Skip directly to site content Skip directly to page options Skip directly to A-Z link Skip directly to A-Z link Skip directly to A-Z link
Volume 28, Number 9—September 2022
Research

Quantifying Population Burden and Effectiveness of Decentralized Surveillance Strategies for Skin-Presenting Neglected Tropical Diseases, Liberia

Joseph W.S. TimothyComments to Author , Emerson Rogers, Katherine E. Halliday, Tarnue Mulbah, Michael Marks, Zeela Zaizay, Romeo Giddings, Marie Kempf, Estelle Marion, Stephen L. Walker, Karsor K. Kollie, and Rachel L. Pullan1
Author affiliations: London School of Hygiene and Tropical Medicine, London, UK (J.W.S. Timothy, K.E. Halliday, M. Marks, S.L. Walker, R.L. Pullan); Ministry of Health, Monrovia, Liberia (E. Rogers, T. Mulbah, Z. Zaizay, R. Giddings, K.K. Kollie); Hospital for Tropical Diseases, London (M. Marks, S.L Walker); Université d’Angers, Angers, France (M. Kempf, E. Marion); Centre Hospitalier Universitaire Angers, Angers (M. Kempf)

Main Article

Table 2

Summary of interrater reliability scores of skin-NTD clinical diagnoses, Liberia*

Disease Total survey cases assessed Total QC clinical diagnoses Agreement Verifier-only diagnoses QC-only diagnosis Agreement, % Alternative diagnoses
Suspected Buruli ulcer 15 11 10 5 1 62.5 Traumatic ulcer, tropical ulcer
Leprosy 12 7 7 5 0 58.3 Vitiligo, tinea corporis
LF lymphedema 25 27 24 1 3 85.7 Non-LF edema
LF hydrocele 17 14 8 9 6 34.8 Hernia, non-LF hydrocele
Other skin disease
105
115
95
10
20
76.0
None
Combined skin NTDs 69 59 49 20 10 62.0† None

*Overall agreement; 82.8%; Cohen κ, all outcomes: 0.69 (95% CI 0.59–0.79). LF, lymphatic filariasis; NTD, neglected tropical disease; QC, quality control. †Cohen κ: 0.51 (0.39‒0.64).

Main Article

1These authors contributed equally to this article.

Page created: July 02, 2022
Page updated: August 19, 2022
Page reviewed: August 19, 2022
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
file_external