Progress and Impact of 13 Years of the Global Programme to Eliminate Lymphatic Filariasis on Reducing the Burden of Filarial Disease
Identifieur interne : 002636 ( Main/Exploration ); précédent : 002635; suivant : 002637Progress and Impact of 13 Years of the Global Programme to Eliminate Lymphatic Filariasis on Reducing the Burden of Filarial Disease
Auteurs : K. D. Ramaiah [Inde] ; Eric A. Ottesen [États-Unis]Source :
- PLoS Neglected Tropical Diseases [ 1935-2727 ] ; 2014.
Descripteurs français
- KwdFr :
- Chimioprévention (), Coût de la maladie, Filaricides (administration et posologie), Filaricides (usage thérapeutique), Filariose lymphatique (), Filariose lymphatique (traitement médicamenteux), Filariose lymphatique (épidémiologie), Humains, Internationalité, Modèles théoriques, Santé mondiale, Services de médecine préventive (), Éradication de maladie.
- MESH :
- administration et posologie : Filaricides.
- traitement médicamenteux : Filariose lymphatique.
- usage thérapeutique : Filaricides.
- épidémiologie : Filariose lymphatique.
- Chimioprévention, Coût de la maladie, Filariose lymphatique, Humains, Internationalité, Modèles théoriques, Santé mondiale, Services de médecine préventive, Éradication de maladie.
English descriptors
- KwdEn :
- Chemoprevention (methods), Chemoprevention (statistics & numerical data), Cost of Illness, Disease Eradication, Elephantiasis, Filarial (drug therapy), Elephantiasis, Filarial (epidemiology), Elephantiasis, Filarial (prevention & control), Filaricides (administration & dosage), Filaricides (therapeutic use), Global Health, Humans, Internationality, Models, Theoretical, Preventive Health Services (statistics & numerical data).
- MESH :
- chemical , administration & dosage : Filaricides.
- drug therapy : Elephantiasis, Filarial.
- epidemiology : Elephantiasis, Filarial.
- methods : Chemoprevention.
- prevention & control : Elephantiasis, Filarial.
- statistics & numerical data : Chemoprevention, Preventive Health Services.
- chemical , therapeutic use : Filaricides.
- Cost of Illness, Disease Eradication, Global Health, Humans, Internationality, Models, Theoretical.
Abstract
A Global Programme to Eliminate Lymphatic Filariasis was launched in 2000, with mass drug administration (MDA) as the core strategy of the programme. After completing 13 years of operations through 2012 and with MDA in place in 55 of 73 endemic countries, the impact of the MDA programme on microfilaraemia, hydrocele and lymphedema is in need of being assessed.
During 2000–2012, the MDA programme made remarkable achievements – a total of 6.37 billion treatments were offered and an estimated 4.45 billion treatments were consumed by the population living in endemic areas. Using a model based on empirical observations of the effects of treatment on clinical manifestations, it is estimated that 96.71 million LF cases, including 79.20 million microfilaria carriers, 18.73 million hydrocele cases and a minimum of 5.49 million lymphedema cases have been prevented or cured during this period. Consequently, the global prevalence of LF is calculated to have fallen by 59%, from 3.55% to 1.47%. The fall was highest for microfilaraemia prevalence (68%), followed by 49% in hydrocele prevalence and 25% in lymphedema prevalence. It is estimated that, currently,
The MDA programme has resulted in significant reduction of the LF burden. Extension of MDA to all at-risk countries and to all regions within those countries where MDA has not yet reached 100% geographic coverage is imperative to further reduce the number of microfilaraemia and chronic disease cases and to reach the global target of interrupting transmission of LF by 2020.
Url:
DOI: 10.1371/journal.pntd.0003319
PubMed: 25412180
PubMed Central: 4239120
Affiliations:
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D." last="Ramaiah">K. D. Ramaiah</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Consultant on Lymphatic Filariasis, Tagore Nagar, Pondicherry, India</addr-line></nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Consultant on Lymphatic Filariasis, Tagore Nagar, Pondicherry</wicri:regionArea><wicri:noRegion>Pondicherry</wicri:noRegion></affiliation></author><author><name sortKey="Ottesen, Eric A" sort="Ottesen, Eric A" uniqKey="Ottesen E" first="Eric A." last="Ottesen">Eric A. Ottesen</name><affiliation wicri:level="2"><nlm:aff id="aff2"><addr-line>Neglected Tropical Disease Support Center, The Task Force for Global Health, Decatur, Georgia, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Neglected Tropical Disease Support Center, The Task Force for Global Health, Decatur, Georgia</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>ENVISION Project, RTI International, Washington, D.C., United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>ENVISION Project, RTI International, Washington, D.C.</wicri:regionArea><wicri:noRegion>D.C.</wicri:noRegion></affiliation></author></analytic><series><title level="j">PLoS Neglected Tropical Diseases</title><idno type="ISSN">1935-2727</idno><idno type="eISSN">1935-2735</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Chemoprevention (methods)</term><term>Chemoprevention (statistics & numerical data)</term><term>Cost of Illness</term><term>Disease Eradication</term><term>Elephantiasis, Filarial (drug therapy)</term><term>Elephantiasis, Filarial (epidemiology)</term><term>Elephantiasis, Filarial (prevention & control)</term><term>Filaricides (administration & dosage)</term><term>Filaricides (therapeutic use)</term><term>Global Health</term><term>Humans</term><term>Internationality</term><term>Models, Theoretical</term><term>Preventive Health Services (statistics & numerical data)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Chimioprévention ()</term><term>Coût de la maladie</term><term>Filaricides (administration et posologie)</term><term>Filaricides (usage thérapeutique)</term><term>Filariose lymphatique ()</term><term>Filariose lymphatique (traitement médicamenteux)</term><term>Filariose lymphatique (épidémiologie)</term><term>Humains</term><term>Internationalité</term><term>Modèles théoriques</term><term>Santé mondiale</term><term>Services de médecine préventive ()</term><term>Éradication de maladie</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Filaricides</term></keywords><keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Filaricides</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Elephantiasis, Filarial</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Elephantiasis, Filarial</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Chemoprevention</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Elephantiasis, Filarial</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Chemoprevention</term><term>Preventive Health Services</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Filaricides</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Filariose lymphatique</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Filaricides</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Filariose lymphatique</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Cost of Illness</term><term>Disease Eradication</term><term>Global Health</term><term>Humans</term><term>Internationality</term><term>Models, Theoretical</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Chimioprévention</term><term>Coût de la maladie</term><term>Filariose lymphatique</term><term>Humains</term><term>Internationalité</term><term>Modèles théoriques</term><term>Santé mondiale</term><term>Services de médecine préventive</term><term>Éradication de maladie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>A Global Programme to Eliminate Lymphatic Filariasis was launched in 2000, with mass drug administration (MDA) as the core strategy of the programme. After completing 13 years of operations through 2012 and with MDA in place in 55 of 73 endemic countries, the impact of the MDA programme on microfilaraemia, hydrocele and lymphedema is in need of being assessed.</p></sec><sec><title>Methodology/Principal findings</title><p>During 2000–2012, the MDA programme made remarkable achievements – a total of 6.37 billion treatments were offered and an estimated 4.45 billion treatments were consumed by the population living in endemic areas. Using a model based on empirical observations of the effects of treatment on clinical manifestations, it is estimated that 96.71 million LF cases, including 79.20 million microfilaria carriers, 18.73 million hydrocele cases and a minimum of 5.49 million lymphedema cases have been prevented or cured during this period. Consequently, the global prevalence of LF is calculated to have fallen by 59%, from 3.55% to 1.47%. The fall was highest for microfilaraemia prevalence (68%), followed by 49% in hydrocele prevalence and 25% in lymphedema prevalence. It is estimated that, currently, <italic>i.e.</italic> after 13 years of the MDA programme, there are still an estimated 67.88 million LF cases that include 36.45 million microfilaria carriers, 19.43 million hydrocele cases and 16.68 million lymphedema cases.</p></sec><sec><title>Conclusions/Significance</title><p>The MDA programme has resulted in significant reduction of the LF burden. Extension of MDA to all at-risk countries and to all regions within those countries where MDA has not yet reached 100% geographic coverage is imperative to further reduce the number of microfilaraemia and chronic disease cases and to reach the global target of interrupting transmission of LF by 2020.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Michael, E" uniqKey="Michael E">E Michael</name></author><author><name sortKey="Bundy, Da" uniqKey="Bundy D">DA Bundy</name></author><author><name sortKey="Grenfell, Bt" uniqKey="Grenfell B">BT Grenfell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ottesen, Ea" uniqKey="Ottesen E">EA Ottesen</name></author><author><name sortKey="Duke, Bo" uniqKey="Duke B">BO Duke</name></author><author><name sortKey="Karam, M" uniqKey="Karam M">M Karam</name></author><author><name sortKey="Behbehani, K" uniqKey="Behbehani K">K 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Pm" uniqKey="Siba P">PM Siba</name></author><author><name sortKey="Kazura, Jw" uniqKey="Kazura J">JW Kazura</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Inde</li><li>États-Unis</li></country><region><li>Géorgie (États-Unis)</li></region></list><tree><country name="Inde"><noRegion><name sortKey="Ramaiah, K D" sort="Ramaiah, K D" uniqKey="Ramaiah K" first="K. D." last="Ramaiah">K. D. Ramaiah</name></noRegion></country><country name="États-Unis"><region name="Géorgie (États-Unis)"><name sortKey="Ottesen, Eric A" sort="Ottesen, Eric A" uniqKey="Ottesen E" first="Eric A." last="Ottesen">Eric A. Ottesen</name></region><name sortKey="Ottesen, Eric A" sort="Ottesen, Eric A" uniqKey="Ottesen E" first="Eric A." last="Ottesen">Eric A. Ottesen</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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