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Lymphatic filariasis in the Caribbean region: the opportunity for its elimination and certification

dc.contributor.authorRawlins, Samuel Ces_ES
dc.contributor.authorLammie, Patrickes_ES
dc.contributor.authorTiwari, Tejpratapes_ES
dc.contributor.authorPons, Pedroes_ES
dc.contributor.authorChadee, Dave Des_ES
dc.contributor.authorOostburg, Baltus F. Jes_ES
dc.contributor.authorBaboolal, Shirematteees_ES
dc.date.accessioned2015
dc.date.available2015
dc.date.issued2000es_ES
dc.identifier.citationRawlins, Samuel C,Lammie, Patrick,Tiwari, Tejpratap,Pons, Pedro,Chadee, Dave D,Oostburg, Baltus F. J,Baboolal, Shiremattee (2000) Lymphatic filariasis in the Caribbean region: the opportunity for its elimination and certification. Rev Panam Salud Publica;7(5) -,may 2000. Retrieved from http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892000000500005&lng=pt&nrm=isoen_US
dc.identifier.urihttp://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892000000500005&lng=pt&nrm=isoes_ES
dc.identifier.urihttps://iris.paho.org/handle/10665.2/8819
dc.format.extenttabes_ES
dc.relation.ispartofseriesRev Panam Salud Publica;7(5),may 2000es_ES
dc.subjectElefantíase Filarióideaes_ES
dc.subjectWuchereria Bancrofties_ES
dc.subjectRegião do Caribept_BR
dc.titleLymphatic filariasis in the Caribbean region: the opportunity for its elimination and certificationen_US
dc.typeJournal articlesen_US
dc.rights.holderPan American Health Organizationen_US
dc.description.notesIn order to support the case for a certification of elimination of lymphatic filariasis (LF) in some Caribbean countries, we compared the prevalence of circulating Wuchereria bancrofti antigen in communities in Guyana, Suriname, and Trinidad. For the study, we assayed school children in six communities in Guyana, five communities in Suriname, and three communities in Trinidad for the prevalence of circulating W. bancrofti antigen, using a new immunochromatographic test for LF. We also assayed adults in these three countries, with a special focus on Blanchisseuse, Trinidad, where mass treatment for LF elimination had been carried out in 1981. The prevalences of W. bancrofti circulating antigen found in the school children populations ranged from 1.7 to 33.2 in Guyana and were 0.22 overall in Suriname and 0.0 in Trinidad. Among adults in two Guyana communities the prevalences were 16.7 and 32.1. The results were all negative from 211 adults in communities in the north, center, and south of Trinidad, as well as from 29 adults in Suriname. The data suggest that contrary to reports of LF endemicity from the World Health Organization, LF may no longer be present in Trinidad and may be of very low prevalence in Suriname. Trinidad and Tobago and other Caribbean nations proven negative could seek to be awarded a certificate of LF elimination. In Suriname the small localized pocket of infected persons who may serve as a reservoir of LF infection could be tested and appropriately treated to achieve LF elimination. Such LF-positive countries as Guyana should access new international resources being made available for LF elimination efforts. An adequate certification program would help identify which countries should seek the new LF elimination resourcesen_US


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