Lymphatic Filariasis in the Philippines.ppt

8/17/2019 Lymphatic Filariasis in the Philippines.ppt

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Lymphatic Filariasis in the

Philippines


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LF causing disabilities/deformities of

the limbs


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LF affecting the

reproductive organs


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•one of the neglected tropical diseases in

the Philippines affecting poorest of thepoor•LF also known as Elephantiasis or Tibakin the local language•43/44 provinces are endemic in the 11regions• provinces have reached elimination level

namel!"#$Le!te%#orsogon%&iliran%&ukidnon% 'omblon% (gusan del#ur and )inagat *s$


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Prevalence of Microfilaremia /MF Rate Baseline (1998): 9.7 % per 1000 population

+645,232 Filipinos infected with LF(2005)

+30 M Filipinos are at risk of thedisease


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Luzon

26

!isa"as 2#

Mindanao54


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+ The $lo%al &ro'rae to liinate L"phaticFilariasis ($&LF)

+ +Launched b! the *orld +ealth r'anization(*+) (in partnership with $la-o.ith/line)in "ear #1 held at $enea

+ +Following advances in diagnosis and treatment on LFthrough !ears of scientific research% classif!ing it in 1,,as eradicable or potentiall! eradicable$

+ +-alling all 2 si'ned states (includin'&hilippines) to initiate steps in eliinatin' LF as

a pu%lic health pro%le


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The $lo%al lliance to liinate L"phaticFilariasis ($LF)+Formed in 2000 at a eetin' in .pain inresponse to the *orld +ealth r'anization(*+)s $&LF+Proposing a pu%licpriate partnership aon'leaders of the LF 7ounit"+Partners included" The Spanish Government !" #epartment for $nternational #evelopment (#F$#)

The Bill % Melin&a Gates Fo'n&ationGlaoSmith"line Merc % *o+ $nc+ the ,orl& Ban,-. an& vario's G.s


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+ 89:8L .7L;

+ +The


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+


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The ational Filariasis Elimination Programspecificall! aims to"

1$'educe the prevalence rate to elimination levelof less than 12

$Perform mass treatment in all establishedendemic areas

3$)evelop a filariasis disabilit! in all establishedendemic areas

4$-ontinue surveillances of established endemicareas !rs after mass treatment


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Program strategies

+ Endemic mapping

+ -apacit! &uilding

+ 5ass treatment

+ #upport control

+ 5onitoring and supervision

+ Evaluation+ ational certification

+ *nternational -ertification


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Management

+ #elective treatment 6 treating individuals foundto be positive for microfilariae in nocturnal blood e7mination

)rug" )ieth!lcarbame8ine -itrate.9mg/kg bod! wt$in 3 divided doses for 1 consecutive da!s

• 5ass treatment. giving the drugs to allpopulations from 1 !rs old and above in allestablished endemic areas


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Lymphatic Filariasis

Worldwide


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+ 1$1: billion people in countries worldwide remain threatened b!

l!mphatic filariasis and re;uire preventive chemotherap! to stop the

spread of this parasitic infection$

+ *n ::: over 1: million people were infected% with about 4:

million disfigured and incapacitated b! the disease$

+ L!mphatic filariasis can be eliminated b! stopping the spread ofinfection through preventive chemotherap! with single doses of

medicines for persons living in areas where the infection is present$$93 billion treatments have been delivered to stop the spread ofinfection since :::$


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+ 314$ million people no longer re;uire preventive chemotherap! due tosuccessful implementation of strategies$

+ -urrentl!% 1$1: billion people in countries are living in areas thatre;uire preventive chemotherap! to stop the spread of infection$

(ppro7imatel! ?:2 of these people are living in the following 1:countries" (ngola% -ameroon% -@te dA*voire % )emocratic 'epublic ofthe -ongo% *ndia% *ndonesia% 5o8ambi;ue% 5!anmar% igeria and theBnited 'epublic of Tan8ania$

+Cloball!% an estimated million men suffer with genital disease andover 1 million people are afflicted with l!mphoedema$ Eliminatingl!mphatic filariasis can prevent unnecessar! suffering and contribute tothe reduction of povert!


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WHO’s response

+


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WHO’s strategy

&ased on components"

1$ #topping the spread of infection throughlarge.scale annual treatment of all eligible peoplein an area or region where infection is present$

$ The suffering caused b! l!mphaticfilariasis through increased morbidit!management and disabilit! prevention activities$


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!uccess in "#"# will be achieved if patients have

access to the following minimum pac$age of care% +Treatment for episodes of adenol!mphangitis 0()LD

+Cuidance in appl!ing simple measures to manage l!mphoedema andh!drocele to prevent progression of l!mphoedema and debilitating%inflammator! episodes of ()LD

+#urger! for h!droceleD

+Treatment with antifilarial medicines to destro! an! remaining

worms and microfilariae b! preventive chemotherap! or individualtreatment$


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Documents

Lymphatic Filariasis in the Philippines.ppt