Theme leader: Steve Tollman; Theme officer: Xavier G?-Oliv?b>
Dynamics of a protracted health transition are reflected in the disease burdens affecting rural adults.
Epidemiology and treatment of epilepsy in sub-Saharan Africa (SEEDS) Collaboration with KEMRI/Wellcome Trust, Kilifi and University College, London Study will establish burden, risk factors and outcome for active convulsive epilepsy (ACE) in Agincourt and four other African INDEPTH sites. Aims to develop interventions to reduce incidence and mortality from epilepsy, and to provide insight into management of a non-infectious chronic illness that spans all age groups. In 2009, prevalence study for ACE completed; analyses underway. Cost evaluation of epilepsy treatment is part of PRICELESS study
Health and wellbeing of ageing populations in Africa and Asia Collaboration with INDEPTH sites, WHO, Ume?niv, Sweden, Harvard and Colorado Univs, USA
Under Agincourt leadership, eight INDEPTH sites (Ifakara (Tanzania), Nairobi (Kenya), Navrongo (Ghana), Matlab (Bangladesh), Purworejo (Indonesia), Filabavi (Vietnam), Vadu (India) and Agincourt) applied a short version of the WHO-SAGE (Survey on Adult Health and Global Aging) instrument, adapted to routine surveillance, to adults 50 to assess baseline measures of physical and cognitive function and establish cohorts of older adults in African and Asian settings. Comparative work sets out to test hypotheses including: Poor self-rated general health (SRGH) is associated with premature mortality, and Individual SRGH correlates with household characteristics such as wealth, presence of labour migrants, and loss of a prime-age adult. In 2009, initial analyses completed and manuscripts submitted for journal review; longitudinal dataset prepared for more advanced analyses including mortality outcomes. Analyses have commenced on the full WHO-SAGE survey, undertaken in Agincourt and two other HDSS sites.
