Nigeria's war on terror: fighting dracunculiasis, onchocerciasis, lymphatic filariasis, and schistosomiasis at the grassroots.
Africa's populous country, Nigeria, contains or contained more cases of dracunculiasis, onchocerciasis, lymphatic filariasis, and schistosomiasis than any other African nation and ranks or ranked first (dracunculiasis, onchocerciasis, schistosomiasis) or third (lymphatic filariasis) in the world for the same diseases. After beginning village-based interventions against dracunculiasis 20 years ago and confronting onchocerciasis a few years later, Nigeria has nearly eliminated dracunculiasis and has provided annual mass drug administration for onchocerciasis to over three quarters of that at-risk population for 7 years. With assistance from The Carter Center, Nigeria began treating lymphatic filariasis and schistosomiasis in two and three states, respectively, over the past decade, while conducting pioneering operational research as a basis for scaling up interventions against those diseases, for which much more remains to be done. This paper describes the status of Nigeria's struggles against these four neglected tropical diseases and discusses challenges and plans for the future.
Njepuome
Ngozi A
NA
Federal Ministry of Health, Abuja, Nigeria; The Carter Center, Atlanta, Georgia; The Carter Center, Jos, Nigeria. ngonjep@yahoo.com
Hopkins
Donald R
DR
Richards
Frank O
FO
Anagbogu
Ifeoma N
IN
Pearce
Patricia Ogbu
PO
Jibril
Mustapha Muhammed
MM
Okoronkwo
Chukwu
C
Sofola
Olayemi T
OT
Withers
P Craig
PC
Ruiz-Tiben
Ernesto
E
Miri
Emmanuel S
ES
Eigege
Abel
A
Emukah
Emmanuel C
EC
Nwobi
Ben C
BC
Jiya
Jonathan Y
JY
D000871:Anthelmintics / Q000008:administration & dosage / Q000627:therapeutic use; D004320:Dracunculiasis / Q000188:drug therapy / Q000453:epidemiology / Q000517:prevention & control*; D004605:Elephantiasis, Filarial / Q000188:drug therapy / Q000453:epidemiology / Q000517:prevention & control*; D006801:Humans; D009549:Nigeria / Q000453:epidemiology; D009855:Onchocerciasis / Q000188:drug therapy / Q000453:epidemiology / Q000517:prevention & control*; D011634:Public Health; D012552:Schistosomiasis / Q000188:drug therapy / Q000453:epidemiology / Q000517:prevention & control*; D013997:Time Factors; D014881:Water Supply
D000871:Anthelmintics