title: Progress towards, and challenges for, the elimination of filariasis from Pacific-island communities.
abstract: The Pacific Programme for the Elimination of Lymphatic Filariasis (PacELF) - the first regional campaign to attempt to eliminate filariasis as a public-health problem - is using five, annual, mass drug administrations (MDA) of diethylcarbamazine (DEC) plus albendazole to stop transmission. In 2001, nine countries and territories covered by the programme had begun annual MDA campaigns, with population treatment coverages ranging from 52% to 95%. By the end of 2002, it is anticipated that 11 countries/territories will have begun such MDA campaigns. Even with high MDA coverage, the efficiency of Aedes polynesiensis as a vector of Wuchereria bancrofti may limit the effectiveness of the elimination campaigns in some countries. In areas of limited MDA coverage, additional strategies, such as vector control (as a adjunct to the MDA), or alternative approaches, such as the use of DEC-fortified salt, may be necessary to stop transmission.
authors.affiliation: Pacific Regional Vector Borne Diseases Project, Port Vila, Vanuatu. trburkot@aol.com
authors.forename: T R
authors.initials: TR
authors.lastname: Burkot
authors.forename: G
authors.initials: G
authors.lastname: Taleo
authors.forename: V
authors.initials: V
authors.lastname: Toeaso
authors.forename: K
authors.initials: K
authors.lastname: Ichimori
mesh_terms: D015766:Albendazole / Q000627:therapeutic use; D000818:Animals; D009033:Culicidae / Q000469:parasitology; D004049:Diethylcarbamazine / Q000627:therapeutic use; D004199:Disease Vectors; D004605:Elephantiasis, Filarial / Q000453:epidemiology / Q000517:prevention & control* / Q000635:transmission; D019353:Endemic Diseases / Q000517:prevention & control*; D005369:Filaricides / Q000627:therapeutic use; D006801:Humans; D009032:Mosquito Control / Q000379:methods; D010139:Pacific Islands / Q000453:epidemiology; D012965:Sodium Chloride / Q000627:therapeutic use
chemical_list: D005369:Filaricides; D012965:Sodium Chloride; D015766:Albendazole; D004049:Diethylcarbamazine