Lymphatic Filariasis

News Excerpt:

Union Minister of State for Health and Family Welfare inaugurated the first phase of the Bi-annual Nationwide Mass Drug Administration (MDA) campaign aimed at eliminating Lymphatic Filariasis.

Lymphatic filariasis:

  • It is commonly known as elephantiasis and is a neglected tropical disease.
  • Infection occurs when filarial parasites are transmitted to humans through mosquitoes.
    • Infection is usually acquired in childhood and causes hidden damage to the lymphatic system.
  • It is caused by infection with parasites classified as nematodes (roundworms) of the family Filariodidea. There are 3 types of these thread-like filarial worms:
    • Wuchereria bancrofti, which is responsible for 90% of the cases.
    • Brugia malayi and Brugia timori, which also causes the disease but to a lesser extent.
  • The painful and profoundly disfiguring visible manifestations of the disease – lymphoedema, elephantiasis and scrotal swelling – occur later in life and can lead to permanent disability.
  • India aims to eliminate Lymphatic Filariasis by 2027, three years ahead of the global target i.e. 2030 through a mission-driven strategy.

About Mass Drug Administration (MDA) campaign:

  • The initiative seeks to halt disease transmission by administering free preventive medications to residents in afflicted areas.
    • It encompasses 92 districts across 11 states.
    • The campaign is scheduled to operate for the subsequent two weeks.
    • India has adopted the bi-annual campaign model.
  • It is the WHO-recommended preventive chemotherapy strategy for lymphatic filariasis elimination.
    • MDA involves administering an annual dose of medicines to the entire at-risk population.
  • The medicines used have a limited effect on adult parasites but effectively reduce the density of microfilariae in the bloodstream and prevent the spread of parasites to mosquitoes.
  • WHO recommends the following MDA regimens:
    • albendazole alone twice per year for areas co-endemic with loiasis;
    • ivermectin with albendazole in countries with onchocerciasis;
    • diethylcarbamazine citrate (DEC) and albendazole in countries without onchocerciasis; and
    • ivermectin together with diethylcarbamazine citrate (DEC) and albendazole in countries without onchocerciasis and where other programmatic conditions are met.
  • Last year's campaign coverage rate was 82.5% and achieved over 95% coverage of the eligible population.

Way forward:

  • There is a need for social mobilization and active community involvement to ensure comprehensive awareness.
  • A collaboration with relevant departments, including Panchayati Raj, education, rural development, tribal affairs, urban bodies, and medical colleges is required to transform the campaign into a grassroots movement.

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