According to the 2017 WHO Weekly Epidemiological Report Progress the region has led to 3.7 million persons no longer requiring MDA. MDA was still required in all 4 endemic countries in 2016. Brazil implemented the last round of MDA where warranted followed by TAS demonstrating that MDA is no longer required in the country and is compiling data for the elimination dossier. Dominican Republic re-started MDA and reached all remaining IUs. Guyana sustained implementation of MDA in 4 regions. Guyana is planning to reassess endemicity in historically endemic districts that are not implementing MDA, to expand activities moving towards 100% geographical coverage. Haiti continues to implement MDA where required and implemented TAS1 in 2016 with successful results in 9 out of 9 IUs. The main issues facing the region are achieving effective coverage in each remaining round of MDA and quantifying the number of patients with lymphoedema and hydrocele to plan for the provision of recommended basic package of care.
Work remains to be done to assess the scale of the problems of disability and to develop an appropriate response. Some of the programmes face obstacles, including the lack of both human and financial resources and, at times, political commitment.
The treatment regime in all the Americas endemic countries is albendazole plus DEC (diethylcarbamazine).
The Americas Neglected, Tropical and Vector Borne Diseases Unit is part of the Department of Communicable Diseases and Health Analysis and is assigned, in PAHO, to the area of infecitous disease, surveillance, prevention and control.(link is external)
Further details of the Americas programme can be found here
The Americas Programme Review Group (RPRG), the body which reviews national programmes, applications for drug donations, provides techical guidance and identifies operational research issues is chaired by:
Neglected, Tropical and Vector-Borne Diseases Unit,
Department of Communicable Diseases and Health Analysis,
Pan American Health Organization (PAHO),
525 Twenty-third Street, N.W.,
nicholls [at] paho.org