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Integrated Risk Mapping Of Lymphatic Filariasis And Loiasis In South West Nigeria

645 words - 3 pages

Lymphatic filariasis (LF) is one of the oldest neglected tropical diseases (NTDs) with 1.4 billion people in 73 countries at risk worldwide (WHO 2013). LF is caused by three parasitic worms, Wuchereria bancrofti, Brugia malayi, and B. timori, with W bancrofti causing over 90% of the infections (WHO 2010). The major vectors of W. bancrofti are the Culex, Anopheles, and Aedes mosquitoes (WHO2010). The World Health Organization (WHO) estimates that over 120 million people currently suffer from LF, with approximately 40 million of those suffering from the clinical manifestations and disabled by the disease (WHO 2013).(
In 2000, WHO launched the Global Programme to Eliminate Lymphatic Filariasis (GPELF) with the aim to eliminate the world of LF by 2020 (WHO 2013). GPELF’s main strategy is to interrupt transmission through mass drug administration (MDA) of albendazole and diethylcarbamazine or ivermectin (WHO 2013). Since the beginning of GPELF, 53 countries have scaled up MDAs, and there has been a 43% decrease in LF transmission in at-risk populations (WHO 2013). While there has been good progress overall, many of the 34 LF endemic countries in Africa have yet to implement MDA; 9 of which are co-endemic with loiasis (WHO 2012).
Loiasis is a disease caused by Loa loa, a filarial parasite that occurs throughout the West and Central African tropical rain forests (WHO 1974). Chrysops, or deer flies, are the vector for Loa with the two primary vector species being C. silacea and C. dimidiate (Gordon 1950). The symptoms of loiasis include itching and swelling as the adult worms move under the skin and can cause lesions, typically in the extremities, called Calabar swellings (WHO 2013). While these symptoms seem relatively mild, the real danger of loiasis occurs when an infected person with high levels of the microfilaria takes drugs such as...

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