title: Fit for purpose: do we have the right tools to sustain NTD elimination?
abstract: Priorities for NTD control programmes will shift over the next 10-20 years as the elimination phase reaches the 'end game' for some NTDs, and the recognition that the control of other NTDs is much more problematic. The current goal of scaling up programmes based on preventive chemotherapy (PCT) will alter to sustaining NTD prevention, through sensitive surveillance and rapid response to resurgence. Anew suite of tools and approacheswill be required for both PCT and Intensive Disease Management (IDM) diseases in this timeframe to enable disease endemic countries to:1. Sensitively and sustainably surveyNTD transmission and prevalence in order to identify and respond quickly to resurgence. 2. Set relevant control targets based not only on epidemiological indicators but also entomological and ecological metrics and usedecision supporttechnology to help meet those targets. 3. Implementverified and cost-effective toolsto prevent transmission throughout the elimination phase. Liverpool School of Tropical Medicine (LSTM) and partners propose to evaluate and implement existing tools from other disease systems as well as new tools in the pipeline in order to support endemic country ownership in NTD decision-making during the elimination phase and beyond.
authors.affiliation: Liverpool School of Tropical Medicine, Liverpool, UK.
authors.forename: Lisa J
authors.initials: LJ
authors.lastname: Reimer
authors.affiliation: Liverpool School of Tropical Medicine, Liverpool, UK.
authors.forename: Emily R
authors.initials: ER
authors.lastname: Adams
authors.affiliation: Liverpool School of Tropical Medicine, Liverpool, UK.
authors.forename: Mark Ji
authors.initials: MJ
authors.lastname: Paine
authors.affiliation: Liverpool School of Tropical Medicine, Liverpool, UK.
authors.forename: Hilary
authors.initials: H
authors.lastname: Ranson
authors.affiliation: Liverpool School of Tropical Medicine, Liverpool, UK.
authors.forename: Marlize
authors.initials: M
authors.lastname: Coleman
authors.affiliation: Liverpool School of Tropical Medicine, Liverpool, UK.
authors.forename: Edward K
authors.initials: EK
authors.lastname: Thomsen
authors.affiliation: Liverpool School of Tropical Medicine, Liverpool, UK.
authors.forename: Eleanor E
authors.initials: EE
authors.lastname: MacPherson
authors.affiliation: School of Life Sciences, Warwick University, Warwick, UK.
authors.forename: T Deirdre
authors.initials: TD
authors.lastname: Hollingsworth
authors.affiliation: Liverpool School of Tropical Medicine, Liverpool, UK.
authors.forename: Louise A
authors.initials: LA
authors.lastname: Kelly-Hope
authors.affiliation: Liverpool School of Tropical Medicine, Liverpool, UK.
authors.forename: Moses J
authors.initials: MJ
authors.lastname: Bockarie
authors.affiliation: Liverpool School of Tropical Medicine, Liverpool, UK.
authors.forename: Louise
authors.initials: L
authors.lastname: Ford
authors.affiliation: Liverpool School of Tropical Medicine, Liverpool, UK.
authors.forename: Robert A
authors.initials: RA
authors.lastname: Harrison
authors.affiliation: Liverpool School of Tropical Medicine, Liverpool, UK.
authors.forename: J Russell
authors.initials: JR
authors.lastname: Stothard
authors.affiliation: Liverpool School of Tropical Medicine, Liverpool, UK.
authors.forename: Mark J
authors.initials: MJ
authors.lastname: Taylor
authors.affiliation: IVCC, Liverpool, UK.
authors.forename: Nicholas
authors.initials: N
authors.lastname: Hamon
authors.affiliation: Liverpool School of Tropical Medicine, Liverpool, UK.
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: Torr