A Brief History of LF-MDA in Haiti Sample Clauses

A Brief History of LF-MDA in Haiti. Following Rochars’ nationwide mapping of LF prevalence, it was determined that all nine of Haiti’s departments met threshold levels of W. bancrofti transmission to require MDA [9]. Using the results of this study to guide its implementation, Haiti’s Ministry of Health and Population (MSPP) launched its National Program to Eliminate LF (NPELF) in 2000 [8]. The country’s first round of MDA was initiated in the Leogane commune using a chemoprophylaxis of albendazole + DEC [8]. Hyperendemic areas (>10% antigenemia) were prioritized for early rounds of MDA. From 2000-2005, the MSPP quickly scaled up the program to reach all hyperendemic communes. With technical and financial assistance from partners including the Centers for Disease Control and Prevention (CDC), the Xxxxxx Center (TCC), the University of Notre Dame (UND) Haiti Program, IMA World Health, and the Task Force for Global Health, the MSPP achieved full geographic coverage of all 140 endemic communes in 2012 to include Port-au-Prince and other urban, high transmission “zone rouge” communes [10]. In 2014, 20 communes met WHO criteria to stop MDA and enter the surveillance phase of the program. Considering the staggering challenges faced by MSPP, this achievement is all the more tremendous. These challenges have included devastating hurricanes, the 2004 coup d’etat which precipitated an interruption of funding in 20059, persistent civil strife, the catastrophic 2010 earthquake, and a deadly cholera outbreak introduced by U.N. peacekeeping forces [8]. After 19 years, Haiti is nearing its goal of eliminating LF by 2020. However, the urban “zones rouges” have proven particularly challenging for LF-MDA implementation.
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