Impact of the Lymphatic Filariasis Control Program towards elimination of filariasis in Vanuatu, 1997–2006

Autor: Tammy Allen, Fasihah Taleo, Patricia M. Graves, Peter Wood, George Taleo, Margaret C. Baker, Mark Bradley, Kazuyo Ichimori
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Tropical Medicine and Health, Vol 45, Iss 1, Pp 1-11 (2017)
Druh dokumentu: article
ISSN: 1349-4147
DOI: 10.1186/s41182-017-0047-8
Popis: Abstract Background Lymphatic filariasis (LF) occurs when filarial parasites are transmitted to humans through mosquitoes. The filarial worms affect the lymphatic system which leads to abnormal enlargement of body parts, chronic pain, disability, and social discrimination. In 1999, a commitment was made to eliminate LF from the Pacific Region by 2010. The Pacific Program to Eliminate LF began, with Vanuatu being one of the 16 endemic countries included in this program. Methods In 1997/1998 a LF prevalence baseline survey was conducted to determine the need for mass drug administration (MDA) in Vanuatu. In 1999, the Vanuatu Lymphatic Filariasis Control Program was established, and nationwide MDA was implemented from 2000 to 2004. LF prevalence was collected during the MDA through sentinel site and spot check surveys, and after 5 years of MDA. MDA implementation methods included health worker training, social mobilization, and culturally appropriate health promotion strategies. Results LF prevalence at baseline was 4.79%; after MDA this declined to 0.16% in 2005/2006. Average MDA coverage ranged from 75.5–81.5% across 5 years. All three evaluation units surveyed in 2005/2006 were below the 1% threshold required to stop MDA. Conclusions The LF Control Program between 1997 and 2006 was successful in reducing LF prevalence to
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