Category Archives: Haiti

Hope for Haitians at Risk of Elephantiasis

 

Update: Dr. Peter Hotez shared his perspective in Infectious Disease News on Haiti’s efforts to eliminate lymphatic filariasis. .

For those of us in the United States, a mosquito bite is just a harmless itchy nuisance. But for around 120 million people in 80 countries, a mosquito bite can be life-altering.

By transmitting the larvae of parasitic worms, mosquitoes have caused widespread lymphatic filariasis, or elephantiasis, in mainly tropical and sub-tropical climates. Infected people don’t just suffer from devastating physical problems – weakened immune systems and disfiguring inflammation of the skin, limbs and genitals – they also endure social ostracization, chronic unemployment and endless poverty.

Patient Prince Marah, 24, Hawa Margai, community health officer

Fortunately, as the World Health Organization (WHO) observes, mass-drug administration (MDA) programs have effectively treated symptomatic people, protected healthy populations and, in a couple of countries, entirely eliminated the disease as a threat. Thanks to donations from pharmaceutical companies, international political commitments and people’s willingness to be treated, even more meaningful progress will take place in the coming years.

Haiti is just one of many nations that has implemented an MDA intervention and seen positive results. NPR’s Jason Beaubien reported last week that the Haitian Ministry of Health “is on track to wipe out elephantiasis within the next four years.” This assessment is based on the Center for Disease Control’s examination that found, “by late 2011, all areas in Haiti where LF is endemic had received MDA, except Port-au-Prince, which was considered the most challenging area.”

Mr. Beaubien also noted that Haiti’s efforts to manage elephantiasis will spark change in the rest of the region. Dr. Patrick Lammie, who the Global Network posted an interview with last week, commented:

The successful deworming campaign in Haiti is a major step forward not just for the country but for the whole region, says Patrick Lammie, an immunologist with the Centers for Disease Control and Prevention, who also contributed to the current study.

“If a country like Haiti, with all of the challenges that they’ve faced over the last few years, is able to achieve full national coverage, I think that is as an important example for other countries, which are struggling to scale up their programs as well,” he says. Eliminating elephantiasis in Haiti would also help the Dominican Republic control the disease.

Over the next few years, we look forward to tracking Haiti’s progress on the elimination of elephantiasis and the improvement of Haitians’ health and well-being.

Click here to read the full NPR article.

Hope Clubs: Empowering LF patients in Haiti

 

By Raquel Corona-Parra

The Global Network is working everyday alongside multiple partners around the world to improve the lives of those suffering from NTDs. The Christian Blind Mission (CBM) is a Global Network partner working in Haiti to fight the disabling effects of Lymphatic Filariaris in individuals, as well as to raise awareness about the disease among the general public.

Lymphatic Filariaris (LF), also known as elephantiasis, is an extremely painful, debilitating and disfiguring disease. The disease is caused by the thread-like parasitic filarial worms Wuchereria bancrofti and Brugia malayi, which live in the lymphatic system and can cause extreme swelling (or lymphedema) of the extremities and genitals. LF infection can be treated with a combination of medicines that cost approximately 50 cents per person per year. Symptoms of advanced stages of the disease, lymphedema, can also be addressed with a morbidity management plan.

General meeting of all members of self-help groups at the Hospital Sainte Croix in Leogane, Haiti, September 2012. Photo by CBM USA.

Just as important as the medicine needed to treat the physical effects of LF is the treatment necessary to alleviate the emotional effects of the disease. Those with severe symptoms are often unable to work because of the physical disability brought on by the disease. Many suffer from social stigma and marginalization as a result of their disfigurement. CBM is working to empower patients of LF through proper self-care guidelines as well as with the psychosocial and emotional support that is vital for their physical and emotional well-being. Continue reading

Washington Post: Haiti Takes on Elephantiasis

On Monday the Washington Post featured a powerful story about Elephantiasis (lymphatic filariasis) on its front page. The story was headlined by health and medicine reporter David Brown, who traveled to Haiti to talk with community health workers and patients about the devastating disease.

Elephantiasis, also known as lymphatic filariasis or LF, is one of the seven most common neglected tropical diseases (NTDs). Together they cause 90 percent of the global NTD burden, and LF alone impacts more than 120 million people every year in developing countries in Latin America, Africa and Asia.

As Brown explains in his article, LF has always been a public health problem in Haiti, but until a surge in financial aid came to the region after the 2010 earthquake, the treatment has been sporadic and mainly focused in rural areas:

“Haiti and its foreign donors fought the disease only where it was most prevalent. Over time, more and more parts of the country were included in the campaign. However, Port-Au-Prince, a place where the disease was uncommon, was always judged out of reach. The capital was simply too crowded and chaotic for mass drug administration.

Ironically, the earthquake changed people’s minds about what was possible — and necessary…the earthquake brought a flood of money and human energy to Haiti. Suddenly, nationwide drug administration — including in Port-Au-Prince — became just one more ambitious task that had to be done.”

Dr. Peter Hotez, president of the Sabin Vaccine Institute and Dean of the National School of Tropical Medicine at Baylor College Medicine was also interviewed in the article, explaining that You could argue [LF] is the world’s largest public health program.

Through this article, new audiences can learn about the disabilities and devastation caused by NTDs, and see  the positive impacts mass drug administration (MDA) programs have on communities.

If you are interested in contributing to the efforts to eliminate LF, we encourage you to visit the Global Network’s fall fundraising campaign on GlobalGiving.org

Lymphatic filariasis,on the spotlight in Brazil

By: Agustin Caceres

In Recife, Brasil, the government is using the school system to screen and treat children for lymphatic filariasis

Brasilia, May 29th 2012 – The 11th Regional Meeting, organized by the Pan-American Health Organization (PAHO), is taking place this week in Brasilia (Brazil). In this event, more than 30 representatives of governments, academia, and donor organizations in the fight against neglected infectious disease have gathered to discuss the situation of this NID in the Americas including the success stories, and also the remaining challenges.

In the opening session, hosted by Dr. Joaquin Molina, Representative of PAHO in Brazil, and Dr. Jarbas Barbosa da Silva Jr, Secretary of Health Surveillance of the Health Ministry of Brazil, highlighted that the disease continues to represent an important challenge for the health authorities of Latin America and the Caribbean. In the region, more than 12 million people are at risk of contracting this disease including Haiti, one of the countries most at risk.

“These meetings demonstrate Brazil’s support for the elimination of this disease in the country”, said Dr. Barbosa da Silva. “We are close to the elimination of LF, and that is why this is such an important step. This disease has to remain a top priority and this is why it is key that it is addressed with an integrated approach in collaboration with primary health care services. It is not just about eradication, but also about sustained surveillance.”

Lymphatic filariasis, which is included in the group of the Neglected Infectious Diseases, affects mainly indigenous populations, as well as rural and urban populations that live in pockets of extreme deprivation in several countries in LAC. This is the case of the metropolitan area of Recife, in northeastern Brazil, where the Inter-American Development Bank is supporting a project for the control and elimination of this disease as well as others like leprosy, still present in several areas in Brazil, and geohelminthiasis (intestinal parasites), which has a strong prevalence among children in school age in many municipalities throughout the country.

More than 30 representatives of several countries in the Region are attending this event, such as Costa Rica, Trinidad and Tobago, and Suriname –countries that have certified the eradication of this disease and therefore are no longer considered endemic- together with other countries that are still fighting this disease, including Haiti, Brazil and the Dominican Republic.

The meetings have covered a wide range of topics related to the fight against this disease: from Suriname’s National Plan of Action for the control of NIDs to the experience in Integrated Vector Management in Trinidad and Tobago and the metropolitan area of Recife in Brazil, where activities to monitor and eliminate breeding sites of the culex mosquito –vector for the transmission of LF- are a key component in the strategy to eradicate this disease.

The fight against LF is part of the joint efforts of the IDB, PAHO, and the Global Network for Neglected Tropical Diseases at the Sabin Vaccine Institute as part of the Neglected Infectious Diseases Initiative for Latin America and the Caribbean, an initiative that is supporting innovative projects based with an integrated approach in both the fight against multiple diseases as well as the integration with other sectors like water, sanitation, and housing.

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Agustin Caceres is a consultant in Communications and Outreach at the Social Protection and Health Division of the Inter-American Development Bank (IDB) in Washington DC.