The Indian Lymphatic Filariasis Elimination Programme: The Success to Sustain

2018 ◽  
pp. 193-198
Author(s):  
P. K. Srivastava ◽  
A. C. Dhariwal ◽  
B. K. Tyagi
Keyword(s):  
Lymphatic Filariasis ◽  
Elimination Programme

Il programma di eliminazione della filariasi linfatica in Bangladesh: un modello esportabile? / The lymphatic filariasis elimination programme in Bangladesh: an exportable model?

2017 ◽  
Vol 66 (4) ◽  
pp. 495-511
Author(s):  
Elena Mancini
Keyword(s):  
Lymphatic Filariasis ◽  
International Health ◽  
Poverty Line ◽  
Family Welfare ◽  
Public Healthcare ◽  
Neglected Diseases ◽  
Ministry Of Health ◽  
Community Clinic ◽  
Endemic Diseases ◽  
Elimination Programme

Nel 1971, al termine della sanguinosissima guerra di separazione dal Pakistan, il Bangladesh appariva un paese senza speranza. L’elevatissima crescita demografica -una delle maggiori al mondo- le calamità naturali quali alluvioni e tifoni, la povertà grave e diffusa - con una percentuale di popolazione sotto la soglia di povertà intorno al 30% - la situazione politica interna, con instabilità sociale e latenti conflitti etnici, rendevano il pronostico più che verosimile. A distanza di 40 anni, il BGD è riuscito a smentire in gran parte tale previsione, conseguendo successi nello sviluppo economico, nella salute pubblica e nella trasformazione sociale. Il controllo del tasso di fertilità, la lotta a “big killer” quali la TBC e la diarrea infantile, il miglioramento delle condizioni igieniche e la realizzazione di presidi sanitari territoriali di prima assistenza (community-clinic), efficaci campagne sanitarie, il contrasto di malattie endemiche, sono stati ottenuti grazie all’impiego coordinato delle misure sanitarie dei programmi internazionali. Risultati, questi, conseguiti attraverso una politica sanitaria basata su una proficua collaborazione tra il Ministero della salute nazionale (Ministry of Health and Family Welfare), ONG, organismi sanitari internazionali, istituzioni e fondazioni internazionali. Il BGD ha così conseguito il traguardo della pressoché totale eliminazione delle malattie neglette endemiche nel paese (leishmaniosi viscerale, filariasi linfatica, dengue, lebbra, parassitosi intestinali – infezioni da elminti). L’articolo valuta i fattori che hanno caratterizzato il successo nel programma di eliminazione della filariasi linfatica. Dall’analisi di tali fattori è derivato un possibile modello di governance per la lotta alle malattie neglette in regioni endemiche comparabili sotto il profilo geo-politico. ---------- In 1971, at the end of the bloodstained separation war with Pakistan, Bangladesh appeared as a country without hope. The intense population growth – one of the highest in the world – natural disasters such as flooding and typhoons, acute and diffuse poverty – with a percentage of population below poverty line of 30% – the internal political scenario, with social instability and underlying ethnical conflicts – made this situation less likely to improve. 40 years later, Bangladesh succeeded in disproving such prevision, with a significant growth in economic development, public healthcare and social conditions. Birth control, countermeasures against “big killers” such as tuberculosis and diarrhea in babies, improvement of hygienic conditions and the implementation of local emergency units (community-clinic), effective sanitary campaigns and prevention of endemic diseases have been accomplished thanks to the coordinated use of sanitary measures in international programmes. Results obtained through a sanitary policy based on fruitful collaborations among the Ministry of Health and Family Welfare, NGOs, international health organizations, international institutions and foundations. This way Bangladesh achieved the result of an almost total elimination of neglected endemic disease in the country (visceral leishmaniasis, lymphatic filariasis, dengue, plague, intestinal parasitosys – helminth infections). The article analyses the factors contributing to the success of the Lymphatic Filariasis Elimination Programme. The study of such factors permitted to identify a governance model for fighting neglected diseases in endemic regions with similar geo-political environments.

Lymphatic filariasis: patients and the global elimination programme

2009 ◽  
Vol 103 (sup1) ◽  
pp. 41-51 ◽  
Author(s):  
C. D. Mackenzie ◽  
W. M. Lazarus ◽  
M. E. Mwakitalu ◽  
U. Mwingira ◽  
M. N. Malecela
Keyword(s):  
Lymphatic Filariasis ◽  
Elimination Programme

Status of Lymphatic Filariasis in Security Challenged Areas of Borno State, Nigeria

2021 ◽  
Vol 42 (2) ◽  
pp. 389-393
Author(s):  
E. Davies ◽  
C. Anyaike ◽  
N. Akpan ◽  
Y. A. Saka ◽  
A. Suleiman ◽  
...  
Keyword(s):  
Lymphatic Filariasis ◽  
Sampling Method ◽  
Health Workers ◽  
Test Strip ◽  
Ministry Of Health ◽  
North East ◽  
The North ◽  
The Status ◽  
Elimination Programme ◽  
Health Programmes

National lymphatic filariasis elimination programme (NLFEP) of Federal Ministry of Health sets to provide status of LF in the country before 2020. Borno State, situated in the North East political zone of Nigeria with an estimated population of 4.1million had been enmeshed in insurgency for over a decade. Following an initial mapping between 2008 and 2016 in 16 LGAs out of 27 LGAs, it became imperative that the status of LF in the remaining 11 LGAs of Borno State be ascertained in order to have complete data for planning and policy. Using stratified sampling method, eleven communities were selected from the 11 LGAs namely: Abadam, Ngala, Guzamala, Ngazai, Gubio, Mafa, Jere, Biu, Bayo, Askirin/Uba, and Kwayar Kusar. Blood samples were obtained from consented 990 participants and filarial test strip (FTS) were employed to determine their LF status between November 2017 and February 2018. Of the 990 consented participants only 15 (1.5%) were positive for lymphatic filariasis. Ten cases of hydrocele in men were observed in 4 communities namely Bunari (3), Peta (3), Zaramiramga (2) and Uba (2). Considering the number of positive cases by FTS and hydrocele, result showed that hydrocele accounted for 66.7% of the total positive cases within the positive communities. It is advised that the State health workers should continue to properly educate communities on health programmes including LF preventive measures. Also both Federal Ministry of Health and State Ministry of Health sensitize health partners to start LF treatment and morbidity management in all positive communities to fast track elimination of LF.

scholarly journals Current Epidemiological Assessment of Bancroftian Filariasis in Tanga Region, Northeastern Tanzania

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Happyness J. Mshana ◽  
Vito Baraka ◽  
Gerald Misinzo ◽  
Williams H. Makunde
Keyword(s):  
Lymphatic Filariasis ◽  
Current Status ◽  
Limited Information ◽  
Bancroftian Filariasis ◽  
Filarial Infection ◽  
Cross Sectional ◽  
Epidemiological Trend ◽  
Filarial Antigen ◽  
Elimination Programme ◽  
Card Test

Background. Tanzania started a countrywide lymphatic filariasis elimination programme in 2000 adopting the mass drug administration (MDA) strategy. The drug used for the programme was the combination of ivermectin and albendazole. However, there is limited information on the current epidemiological trend of the infections, where MDA implementation is ongoing. The present study aimed at assessing the current status of Bancroftian filariasis infection rate and morbidity where MDA has been distributed and administered for over eight rounds. Methodology. The study was a cross-sectional descriptive study involving 272 individuals (>18 years) from endemic communities in Tanga region where MDA has been implemented. Clinical, sociodemographic, and circulating filarial antigen (CFA) test was undertaken using immune chromatographic card test according to the manufacturer’s instructions. Results. A total of 472 individuals were screened: 307/472 (65.1%) were males while 165/472 (34.9%) were females. The overall prevalence of CFA was 5.51%, that of hydrocoele was 73.2%, and that of lymphoedema was 16.0%. The prevalence of hydrocoele combined with lymphoedema was 5.5%. Conclusion. Our findings demonstrate a considerable reduction in filarial infection. However, there is clear evidence of ongoing transmission despite the 8 rounds of MDA. It is unlikely that the annual MDA would interrupt filarial transmission; therefore, additional strategies are needed to accelerate lymphatic filariasis control and elimination.

The impact of integrating the elimination programme for lymphatic filariasis into primary health care in the Dominican Republic

2007 ◽  
Vol 22 (4) ◽  
pp. 337-352 ◽  
Author(s):  
Margaret C. Baker ◽  
Deborah A. McFarland ◽  
Manuel Gonzales ◽  
Mary Janet Diaz ◽  
David H. Molyneux
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Dominican Republic ◽  
Lymphatic Filariasis ◽  
Primary Health ◽  
Elimination Programme ◽  
The Impact
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