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Long-Lasting Insecticidal Nets Are Synergistic with Mass Drug Administration for Interruption of Lymphatic Filariasis Transmission in Nigeria
Authors:Abel Eigege  Alphonsus Kal  Emmanuel Miri  Adamu Sallau  John Umaru  Hayward Mafuyai  Yohanna S Chuwang  Goshit Danjuma  Jacob Danboyi  Solomon E Adelamo  Bulus S Mancha  Bridget Okoeguale  Amy E Patterson  Lindsay Rakers  Frank O Richards
Institution:1. The Carter Center, Jos, Plateau State, Nigeria.; 2. University of Jos, Jos, Plateau State, Nigeria.; 3. Plateau State Ministry of Health, Jos, Plateau State, Nigeria.; 4. Nasarawa State Ministry of Health, Lafia, Nasarawa State, Nigeria.; 5. Nigeria, Federal Ministry of Health, Abuja, Nigeria.; 6. The Carter Center, Atlanta, Georgia, United States of America.; Liverpool School of Tropical Medicine, United Kingdom,
Abstract:In central Nigeria Anopheles mosquitoes transmit malaria and lymphatic filariasis (LF). The strategy used for interrupting LF transmission in this area is annual mass drug administration (MDA) with albendazole and ivermectin, but after 8 years of MDA, entomological evaluations in sentinel villages showed continued low-grade mosquito infection rates of 0.32%. After long-lasting insecticidal net (LLIN) distribution by the national malaria program in late 2010, however, we were no longer able to detect infected vectors over a 24-month period. This is evidence that LLINs are synergistic with MDA in interrupting LF transmission.
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