Recent survey shows no signs of lymphatic filariasis among children living in 10 communes

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eglected tropical diseases (NTDs) like lymphatic filariasis (LF) and soil-transmitted helminthes (STH) cause immeasurable illness, suffering, and disability in Haiti, particularly among the poorest of the poor. Since 2007, U.S. Agency for International Development (USAID) has been working with the government of Haiti to reduce the burden of these diseases, primarily with support for annual drug distribution campaigns in endemic communities.

Benefitting from generous drug donations from GlaxoSmithKline (GSK) and USAID, the national program has successfully extended drug coverage to reach all 140 communes in Haiti. Even in the face of persistent political conflict and the devastating earthquake that hit the island country five years ago, the Haiti program persevered and in December 2014, received the first evidence that the program is working. Ten communes in the Southeast Department, home to more than 545,000 people, tested a representative sample of more than 1400 children (ages 5-16) for lymphatic filariasis, and not one tested positive.

“It’s encouraging to see such a positive sign,” said Dr. Abdel Direny, Senior Program Manager for IMA World Health. “This is the result of seven years of sustained effort from the government, USAID, partners, volunteers, and the communities – but the job isn’t done. Our team is looking to 2020 and the total elimination of lymphatic filariasis in Haiti which will be a truly historic achievement.”

Over the next two years, USAID will work with the Haitian government and its partners to test for lymphatic filariasis in other endemic areas to confirm that the program has been equally effective across the country. If tests reflect similar findings as seen in the Southeast Department, annual drug treatment can be stopped and Haiti will be able to declare the elimination of lymphatic filariasis by 2020.

USAID assistance is provided by partners RTI International and IMA World Health as part of the ENVISION project. Working closely with Ministry Departmental and Communal heads to conduct planning workshops and training for treatment activities, the project aims to build capacity and strengthen government ownership of program. To date, the Haiti NTD Control Program has trained over 30,000 volunteers to distribute NTD medicines, 18,000 of which with USAID funding support. In FY2014, USAID funded the treatment of more than 5.1 million people for LF and STH in 97 communes.

Basic Program Information

Program title: ENVISION
Donor: USAID
Start and end dates: 2012-2016
Total number of beneficiaries: 5.1 million people in Haiti currently at risk for LF and STH
Location: North, Northeast, Northwest, South, Southeast, West, Grande Anse, Artibonite, and Nippes Departments, Haiti
Local partners or other organizations involved with the program: The Haiti NTD Control Program (HNTDCP) is a joint effort between the Ministry of Health and Population (MSPP) and the Ministry of Education (MENFP) to eliminate and control lymphatic filariasis (LF) and soil transmitted helminthes (STH). The HNTDCP is supported by a group of collaborating partners who include World Health Organization/Pan American Health Organization (WHO/PAHO), the U.S. Centers for Disease Control and Prevention (CDC), IMA World Health and RTI International as part of USAID’s ENVISION project, University of Notre Dame (UND), Christian Blind Mission (CBM), and GlaxoSmithKline (GSK).

Original posted in the Global Health Council Briefing Book by RTI International and IMA World Health. 

NTD
A girl has her blood taken for the survey. There were zero positive cases of lymphatic filariasis identified in the survey conducted in the Southeast department. The photo was taken at L'ecole Nationale De Bony (located at Anse A Pitre) another commune of the Southeast department.
NTD
Technicians enroll students in the transmission assessment survey. The photo was taken at L’ecole Notre Dame de Lourdes located at Montagne Lavoute (section of Jacmel commune in Southeast department).