caa a22 4500 445339616 CHVBK 20180317142807.0 cr unu---uuuuu 170323e20110701xx s 000 0 eng 10.1007/s00436-011-2252-4 doi (NATIONALLICENCE)springer-10.1007/s00436-011-2252-4 Diurnally subperiodic filariasis in India—prospects of elimination: precept to action? [Elektronische Daten] [A. Shriram, K. Krishnamoorthy, B. Saha, Avijit Roy, V. Kumaraswami, W. Shah, P. Jambulingam, P. Vijayachari] The elimination of lymphatic filariasis in the Andaman and Nicobar Islands provides unique opportunities and challenges at the same time. Since these islands are remote, are sparsely populated, and have poor transport networks, mass drug administration programs are likely to be difficult to implement. Diurnally subperiodic Wuchereria bancrofti vectored by Downsiomyia nivea was considered for the scope of vector control options. Considering the bioecology of this mosquito, vector control including personal protection measures may not be feasible. However, since these islands are covered by separate administrative machinery which also plays an important role in regulating the food supply, the use of diethylcarbamazine (DEC)-fortified salt as a tool for the interruption of transmission is appealing. DEC-fortified salt has been successfully pilot tested in India and elsewhere, operationally used by China for eliminating lymphatic filariasis. Administration of DEC-fortified salt though simple, rapid, safe, and cost-effective, challenges are to be tackled for translating this precept into action by evolving operationally feasible strategy. Although the use of DEC-fortified salt is conceptually simple, it requires commitment of all sections of the society, an elaborate distribution mechanism that ensures the use of DEC-fortified salt only in the endemic communities, and a vigorous monitoring mechanism. Here, we examine the inbuilt administrative mechanisms to serve the tribal people, health infrastructure, and public distribution system and discuss the prospects of putting in place an operationally feasible strategy for its elimination. Springer-Verlag, 2011 Shriram A. Division of Vector Borne Diseases, Regional Medical Research Centre (Indian Council of Medical Research), Post Bag No. 13, 744101, Port Blair, Andaman and Nicobar Islands, India aut Krishnamoorthy K. Division of Health Economics and Disease Burden, Vector Control Research Centre (Indian Council of Medical Research), Medical Complex, 605014, Indira Nagar, Puducherry, India aut Saha B. Division of Malaria, Filaria and Vector Borne Diseases (National Vector Borne Diseases Control Programme), Directorate of Health Services, Andaman and Nicobar Administration, 744101, Port Blair, Andaman and Nicobar Islands, India aut Roy Avijit Division of Health, Directorate of Health Services, Andaman and Nicobar Administration, 744101, Port Blair, Andaman and Nicobar Islands, India aut Kumaraswami V. Division of Immunology and Internal Medicine, Tuberculosis Research Centre (Indian Council of Medical Research), Mayor V Ramanathan Road, Chetpet, 600031, Chennai, India aut Shah W. G B Pant Hospital, Directorate of Health Services, Andaman and Nicobar Administration, 744101, Port Blair, Andaman and Nicobar Islands, India aut Jambulingam P. Division of Vector Biology and Control, Vector Control Research Centre (Indian Council of Medical Research), Medical Complex, 605014, Indira Nagar, Puducherry, India aut Vijayachari P. Division of Microbiology and Molecular Medical Microbiology, Regional Medical Research Centre (Indian Council of Medical Research), Post Bag No. 13, 744101, Port Blair, Andaman and Nicobar Islands, India aut Parasitology Research Springer-Verlag 109/1(2011-07-01), 1-8 0932-0113 109:1<1 2011 109 436 https://doi.org/10.1007/s00436-011-2252-4 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00436-011-2252-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Shriram A. Division of Vector Borne Diseases, Regional Medical Research Centre (Indian Council of Medical Research), Post Bag No. 13, 744101, Port Blair, Andaman and Nicobar Islands, India aut NATIONALLICENCE 700 1- Krishnamoorthy K. Division of Health Economics and Disease Burden, Vector Control Research Centre (Indian Council of Medical Research), Medical Complex, 605014, Indira Nagar, Puducherry, India aut NATIONALLICENCE 700 1- Saha B. Division of Malaria, Filaria and Vector Borne Diseases (National Vector Borne Diseases Control Programme), Directorate of Health Services, Andaman and Nicobar Administration, 744101, Port Blair, Andaman and Nicobar Islands, India aut NATIONALLICENCE 700 1- Roy Avijit Division of Health, Directorate of Health Services, Andaman and Nicobar Administration, 744101, Port Blair, Andaman and Nicobar Islands, India aut NATIONALLICENCE 700 1- Kumaraswami V. Division of Immunology and Internal Medicine, Tuberculosis Research Centre (Indian Council of Medical Research), Mayor V Ramanathan Road, Chetpet, 600031, Chennai, India aut NATIONALLICENCE 700 1- Shah W. G B Pant Hospital, Directorate of Health Services, Andaman and Nicobar Administration, 744101, Port Blair, Andaman and Nicobar Islands, India aut NATIONALLICENCE 700 1- Jambulingam P. Division of Vector Biology and Control, Vector Control Research Centre (Indian Council of Medical Research), Medical Complex, 605014, Indira Nagar, Puducherry, India aut NATIONALLICENCE 700 1- Vijayachari P. Division of Microbiology and Molecular Medical Microbiology, Regional Medical Research Centre (Indian Council of Medical Research), Post Bag No. 13, 744101, Port Blair, Andaman and Nicobar Islands, India aut NATIONALLICENCE 773 0- Parasitology Research Springer-Verlag 109/1(2011-07-01), 1-8 0932-0113 109:1<1 2011 109 436 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer