An estimated 40 million people worldwide suffer from clinically significant manifestations of the lymphatic filariasis (LF), predominately lymphedema, elephantiasis and hydrocele. These conditions can lead to impairments, reduced economic productivity, and discrimination.
In 1997, the World Health Assembly adopted Resolution WHA 50.29, which called on Member States to initiate steps towards elimination of lymphatic filariasis as a public health problem. In response to this call, WHO launched the Global Programme to Eliminate Lymphatic Filariasis in 2000. The recommended elimination strategy has two components: (i) to stop the spread of infection (interrupting transmission); and (ii) to alleviate the suffering of affected populations (controlling morbidity).
Stopping the spread of infection through preventive chemotherapy will prevent new cases of disease. However, to achieve the aims of the second component as outlined in the 2011 morbidity management and disability prevention (MMDP) position statement, a minimum package of care for every person with lymphedema, elephantiasis or hydrocele must be available in all areas of known patients where LF is endemic.
This recommended minimum package of care includes:
Countries claiming to have eliminated LF as a public health problem should clearly document the following information concerning care for LF patients:
Toolkit
In order to assist programs in implementing MMDP services, a toolkit is being developed by WHO and incorporates relevant resources developed by WHO and partner institutions. The objectives of the toolkit are to:
This toolkit components focus on the following areas: