title: An appraisal of the neglected tropical diseases control program in Cameroon: the case of the national program against onchocerciasis.
abstract: Onchocerciasis is a severe parasitic infestation which causes disabling skin and subcutaneous tissue changes. Current global estimates suggest that it accounts for 1135.7 disability adjusted life years (DALYs) per 100,000 population. The disease is endemic in many African countries including Cameroon, probably suggesting that the current health policies are inadequate to achieve eradication of the disease. We aimed to appraise the current Onchocerciasis control program in Cameroon in the context of existing literature.
  
  
  
  We carried out a MEDLINE search via PubMed to source for articles on Onchocerciasis in Cameroon.
  
  
  
  Our appraisal of the literature suggests that Onchocerciasis poses a significant health and economic burden in Cameroon. A composite of factors contribute to the challenge of containing and eradicating Onchocerciasis in Cameroon and include: continuous transmission of the disease; non-compliance to mass drug administration; inability of health care providers (HCPs) to adequately diagnose the disease; limited access of most individuals in endemic zones to annual preventive chemotherapy and inadequate population education on simple and practical measures to prevent the disease. More robust population-based epidemiologic studies are needed to better quantify the current disease burden and consequently guide intervention strategies for complete disease eradication.
  
  
  
  Onchocerciasis is still a neglected tropical disease (NTD) in Cameroon and urgently demands a need for intensification and probably modification of some strategies in the current onchocerciasis elimination program. Control of the disease will contribute to achievement of the corresponding Sustainable Development Goals (SDGs) quota.
authors.affiliation: Centre for Global Health and Tropical Medicine, Nuffield Department of Medicine, University of Oxford, Oxfordshire, UK. tsinjim@gmail.com.|Health and Human development (2HD) Research Group, Douala, Littoral, Cameroon. tsinjim@gmail.com.
authors.forename: Tsi
authors.initials: T
authors.lastname: Njim
authors.affiliation: Clinical Research Education, Networking and Consultancy (CRENC), Douala, Littoral, Cameroon.|School of Public Health, Faculty of Medicine & Biomedical Sciences, University of Queensland, Brisbane, QLD, Australia.
authors.forename: Leopold Ndemnge
authors.initials: LN
authors.lastname: Aminde
mesh_terms: D002163:Cameroon / Q000453:epidemiology; D060740:Disease Eradication / Q000331:legislation & jurisprudence*; D006291:Health Policy; D006801:Humans; D017053:Infection Control / Q000331:legislation & jurisprudence* / Q000379:methods; D058069:Neglected Diseases / Q000453:epidemiology* / Q000517:prevention & control; D009855:Onchocerciasis / Q000453:epidemiology* / Q000517:prevention & control
keywords: Cameroon; Ivermectin; Neglected tropical diseases; Onchocerciasis; Sustainable development goals