Impact of the Lymphatic Filariasis Control Program towards elimination of filariasis in Vanuatu, 1997–2006
Identifieur interne : 000492 ( Main/Exploration ); précédent : 000491; suivant : 000493Impact of the Lymphatic Filariasis Control Program towards elimination of filariasis in Vanuatu, 1997–2006
Auteurs : Tammy Allen ; Fasihah Taleo [Vanuatu] ; Patricia M. Graves ; Peter Wood ; George Taleo [Vanuatu] ; Margaret C. Baker [États-Unis] ; Mark Bradley [Royaume-Uni] ; Kazuyo Ichimori [Japon]Source :
- Tropical Medicine and Health [ 1348-8945 ] ; 2017.
Abstract
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.
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.
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.
The LF Control Program between 1997 and 2006 was successful in reducing LF prevalence to <1%. High MDA coverage was a critical component of this success. This period of the Vanuatu LF Control Program played an important role in helping to eliminate LF in Vanuatu.
Url:
DOI: 10.1186/s41182-017-0047-8
PubMed: 28579911
PubMed Central: 5452608
Affiliations:
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Baker</name><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="ISNI">0000000100301493</institution-id><institution-id institution-id-type="GRID">grid.62562.35</institution-id><institution></institution><institution>RTI International,</institution></institution-wrap>Washington District of Columbia, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Washington District of Columbia</wicri:regionArea></affiliation></author><author><name sortKey="Bradley, Mark" sort="Bradley, Mark" uniqKey="Bradley M" first="Mark" last="Bradley">Mark Bradley</name><affiliation wicri:level="1"><nlm:aff id="Aff5"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 2162 0389</institution-id><institution-id institution-id-type="GRID">grid.418236.a</institution-id><institution></institution><institution>Global Health Program, GlaxoSmithKline (GSK),</institution></institution-wrap>Brentford, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Brentford</wicri:regionArea></affiliation></author><author><name sortKey="Ichimori, Kazuyo" sort="Ichimori, Kazuyo" uniqKey="Ichimori K" first="Kazuyo" last="Ichimori">Kazuyo Ichimori</name><affiliation wicri:level="1"><nlm:aff id="Aff6"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8902 2273</institution-id><institution-id institution-id-type="GRID">grid.174567.6</institution-id><institution></institution><institution>Nagasaki University,</institution></institution-wrap>Nagasaki, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Nagasaki</wicri:regionArea></affiliation></author></analytic><series><title level="j">Tropical Medicine and Health</title><idno type="ISSN">1348-8945</idno><idno type="eISSN">1349-4147</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>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.</p></sec><sec><title>Methods</title><p>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.</p></sec><sec><title>Results</title><p>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.</p></sec><sec><title>Conclusions</title><p>The LF Control Program between 1997 and 2006 was successful in reducing LF prevalence to <1%. High MDA coverage was a critical component of this success. This period of the Vanuatu LF Control Program played an important role in helping to eliminate LF in Vanuatu.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Ramaiah, Kd" uniqKey="Ramaiah K">KD Ramaiah</name></author><author><name sortKey="Ottesen, Ea" uniqKey="Ottesen E">EA Ottesen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ichimori, K" uniqKey="Ichimori K">K Ichimori</name></author><author><name sortKey="Graves, Pm" uniqKey="Graves P">PM Graves</name></author><author><name sortKey="Crump, A" uniqKey="Crump A">A Crump</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Graves, Pm" uniqKey="Graves P">PM Graves</name></author><author><name sortKey="Wood, P" uniqKey="Wood P">P Wood</name></author><author><name sortKey="Bossin, H" uniqKey="Bossin H">H Bossin</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Ichimori, K" uniqKey="Ichimori K">K Ichimori</name></author><author><name sortKey="Graves, Pm" uniqKey="Graves P">PM Graves</name></author><author><name sortKey="Crump, A" uniqKey="Crump A">A Crump</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Byrd, Ee" uniqKey="Byrd E">EE Byrd</name></author><author><name sortKey="St Amant, Ls" uniqKey="St Amant L">LS St Amant</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lagraulet, J" uniqKey="Lagraulet J">J Lagraulet</name></author><author><name sortKey="Bonnin, P" uniqKey="Bonnin P">P Bonnin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bouree, P" uniqKey="Bouree P">P Bouree</name></author><author><name sortKey="Sauvagnac, B" uniqKey="Sauvagnac B">B Sauvagnac</name></author><author><name sortKey="Montaville, B" uniqKey="Montaville B">B Montaville</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fraser, M" uniqKey="Fraser M">M Fraser</name></author><author><name sortKey="Taleo, G" uniqKey="Taleo G">G Taleo</name></author><author><name sortKey="Taleo, F" uniqKey="Taleo F">F Taleo</name></author><author><name sortKey="Yaviong, J" uniqKey="Yaviong J">J Yaviong</name></author><author><name sortKey="Amos, M" uniqKey="Amos M">M Amos</name></author><author><name sortKey="Babu, M" uniqKey="Babu M">M Babu</name></author><author><name sortKey="Kalkoa, M" uniqKey="Kalkoa M">M Kalkoa</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Brabin, L" uniqKey="Brabin L">L Brabin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Huppatz, C" uniqKey="Huppatz C">C Huppatz</name></author><author><name sortKey="Capuano, C" uniqKey="Capuano C">C Capuano</name></author><author><name sortKey="Palmer, K" uniqKey="Palmer K">K Palmer</name></author><author><name sortKey="Kelly, Pm" uniqKey="Kelly P">PM Kelly</name></author><author><name sortKey="Durrheim, Dn" uniqKey="Durrheim D">DN Durrheim</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lemoine, Jf" uniqKey="Lemoine J">JF Lemoine</name></author><author><name sortKey="Desormeaux, Am" uniqKey="Desormeaux A">AM Desormeaux</name></author><author><name sortKey="Monestime, F" uniqKey="Monestime F">F Monestime</name></author><author><name sortKey="Fayette, Cr" uniqKey="Fayette C">CR Fayette</name></author><author><name sortKey="Desir, L" uniqKey="Desir L">L Desir</name></author><author><name sortKey="Direny, An" uniqKey="Direny A">AN Direny</name></author><author><name sortKey="Carciunoiu, S" uniqKey="Carciunoiu S">S Carciunoiu</name></author><author><name sortKey="Miller, L" uniqKey="Miller L">L Miller</name></author><author><name sortKey="Knipes, A" uniqKey="Knipes A">A Knipes</name></author><author><name sortKey="Lammie, P" uniqKey="Lammie P">P Lammie</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Japon</li><li>Royaume-Uni</li><li>Vanuatu</li><li>États-Unis</li></country></list><tree><noCountry><name sortKey="Allen, Tammy" sort="Allen, Tammy" uniqKey="Allen T" first="Tammy" last="Allen">Tammy Allen</name><name sortKey="Graves, Patricia M" sort="Graves, Patricia M" uniqKey="Graves P" first="Patricia M." last="Graves">Patricia M. Graves</name><name sortKey="Wood, Peter" sort="Wood, Peter" uniqKey="Wood P" first="Peter" last="Wood">Peter Wood</name></noCountry><country name="Vanuatu"><noRegion><name sortKey="Taleo, Fasihah" sort="Taleo, Fasihah" uniqKey="Taleo F" first="Fasihah" last="Taleo">Fasihah Taleo</name></noRegion><name sortKey="Taleo, George" sort="Taleo, George" uniqKey="Taleo G" first="George" last="Taleo">George Taleo</name></country><country name="États-Unis"><noRegion><name sortKey="Baker, Margaret C" sort="Baker, Margaret C" uniqKey="Baker M" first="Margaret C." last="Baker">Margaret C. Baker</name></noRegion></country><country name="Royaume-Uni"><noRegion><name sortKey="Bradley, Mark" sort="Bradley, Mark" uniqKey="Bradley M" first="Mark" last="Bradley">Mark Bradley</name></noRegion></country><country name="Japon"><noRegion><name sortKey="Ichimori, Kazuyo" sort="Ichimori, Kazuyo" uniqKey="Ichimori K" first="Kazuyo" last="Ichimori">Kazuyo Ichimori</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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