COMMUNITY-WIDE REDUCTION IN PREVALENCE AND INTENSITY OF INTESTINAL HELMINTHS AS A COLLATERAL BENEFIT OF LYMPHATIC FILARIASIS ELIMINATION PROGRAMS

MADSEN BEAU DE ROCHARS Hopital Ste. Croix, Leogane, Haiti; Division of Parasitic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Center for Tropical Disease Research and Training, University of Notre Dame, Notre Dame, Indiana

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ABDEL N. DIRENY Hopital Ste. Croix, Leogane, Haiti; Division of Parasitic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Center for Tropical Disease Research and Training, University of Notre Dame, Notre Dame, Indiana

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JACQUELIN M. ROBERTS Hopital Ste. Croix, Leogane, Haiti; Division of Parasitic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Center for Tropical Disease Research and Training, University of Notre Dame, Notre Dame, Indiana

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DAVID G. ADDISS Hopital Ste. Croix, Leogane, Haiti; Division of Parasitic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Center for Tropical Disease Research and Training, University of Notre Dame, Notre Dame, Indiana

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JEANNE RADDAY Hopital Ste. Croix, Leogane, Haiti; Division of Parasitic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Center for Tropical Disease Research and Training, University of Notre Dame, Notre Dame, Indiana

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MICHAEL J. BEACH Hopital Ste. Croix, Leogane, Haiti; Division of Parasitic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Center for Tropical Disease Research and Training, University of Notre Dame, Notre Dame, Indiana

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THOMAS G. STREIT Hopital Ste. Croix, Leogane, Haiti; Division of Parasitic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Center for Tropical Disease Research and Training, University of Notre Dame, Notre Dame, Indiana

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DESIRE DARDITH Hopital Ste. Croix, Leogane, Haiti; Division of Parasitic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Center for Tropical Disease Research and Training, University of Notre Dame, Notre Dame, Indiana

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JACK GUY LAFONTANT Hopital Ste. Croix, Leogane, Haiti; Division of Parasitic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Center for Tropical Disease Research and Training, University of Notre Dame, Notre Dame, Indiana

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PATRICK J. LAMMIE Hopital Ste. Croix, Leogane, Haiti; Division of Parasitic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Center for Tropical Disease Research and Training, University of Notre Dame, Notre Dame, Indiana

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Annual mass treatment with antifilarial drugs is the cornerstone of the global program to eliminate lymphatic filariasis (LF). Although the primary goal of the program is to interrupt transmission of LF, additional public health benefits also are expected because of the known anthelminthic properties of these drugs. Since rapid re-infection with intestinal helminths occurs following treatment, annual de-worming may not be sufficient to produce a lasting reduction in the prevalence and intensity of these infections. We conducted stool examinations in four sentinel communities before and approximately nine months after each of two rounds of mass drug administration (MDA) with diethylcarbamazine and albendazole in the context of an LF elimination program in Leogane, Haiti. At baseline, overall Ascaris, Trichuris, and hookworm infection prevalences were 20.9%, 34.0%, and 11.2%, respectively (n = 2,716 stools). Nine months after the second MDA, Ascaris, Trichuris and hookworm prevalences had decreased significantly, to 14.1%, 14.6%, and 2.0%, respectively (n = 814 stools). Infection intensity decreased significantly for all three parasites as well. These results demonstrate that substantial reductions in intestinal helminth infections are associated with mass treatment of filariasis in Haiti and are consistent with the conclusion that high levels of coverage for the LF program can decrease transmission of geohelminths.

Author Notes

  • 1

    Ottesen EA, Duke BOL, Karam M, Behbehani K, 1997. Strategies and tools for the control/elimination of lymphatic filariasis. Bull World Health Organ 75 :491–503.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2

    Addiss DG, Beach MJ, Streit TG, Lutwick S, LeConte FH, Lafontant JG, Lammie PJ, 1997. Efficacy and tolerance of combined single-dose ivermectin and albendazole for Wuchereria bancrofti microfilaremia in Haitian children. Lancet 350 :480–484.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3

    Ottesen EA, Ismail MM, Horton J, 1999. The role of albendazole in programs to eliminate lymphatic filariasis. Parasitol Today 15 :382–386.

  • 4

    Stephenson LS, Latham MC, Ottesen EA, 2000. Malnutrition and parasitic helminth infections. Parasitology 121 (Suppl):S23–S38.

  • 5

    Drake LJ, Bundy DAP, 2001. Multiple helminth infections in children: impact and control. Parasitology 122 :S73–S81.

  • 6

    Stephenson LS, Latham MC, Kurz KM, Kinoti SM, Brigham H, 1989. Treatment with a single dose of albendazole improves growth of Kenyan schoolchildren with hookworm, Trichuris trichiura and Ascaris lumbricoides infections. Am J Trop Med Hyg 41 :78–87.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7

    Stephenson LS, Holland CV, Cooper ES, 2000. The public health importance of Trichuris trichiura.Parasitology 121 (Suppl):S73–S95.

  • 8

    Crompton DWT, 2000. The public health importance of hookworm disease. Parasitology 121 (Suppl):S39–S50.

  • 9

    O’Lorcain P, Holland CV, 2000. The public health importance of Ascaris lumbricoides. Parasitology 121 (Suppl):S51–S71.

  • 10

    Beach MJ, Streit TG, Addiss DG, Prospere R, Roberts JM, Lammie PJ, 1999. Assessment of combined ivermectin and albendazole for treatment of intestinal helminth and Wuchereria bancrofti infections in Haitian school children. Am J Trop Med Hyg 60 :479–486.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11

    Mani TR, Rajendran R, Munirathinam A, Sunish IP, Abdullah SMd, Augustin DJ, Satyanarayana K, 2002. Efficacy of co-administration of albendazole and diethylcarbamazine against geohelminthiases: a study from south India. Trop Med Int Health 7 :541–548.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12

    Belizario VY, Amarillo ME, de Leon WU, de los Reyes AE, Bugayong MG, Macatangay BJC, 2003. A comparison of the efficacy of single doses of albendazole, ivermectin, and diethylcarbamazine alone or in combinations against Ascaris and Trichuris spp. Bull World Health Organ 81 :35–42.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13

    McLaughlin SI, Radday J, Carmel M, Addiss DG, Lammie PJ, Lammie J, Rheingans R, Lafontant J, 2003. Frequency, severity, and costs of adverse reactions following mass treatment for lymphatic filariasis using diethylcarbamazine and albendazole, Leogane, Haiti 2000. Am J Trop Med Hyg 68 :568–573.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14

    Bockarie MJ, Tisch DJ, Kastens W, Alexander ND, Dimber Z, Bockarie F, Ibam E, Alpers MP, Kazura JW, 2002. Mass treatment to eliminate filariasis in Papua New Guinea. N Engl J Med. 347 :1841–1848.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15

    Mathieu E, Deming M, Lammie P, McLaughlin S, Beach M, Deodat DJ, Addiss D, 2003. Comparison of methods for estimating drug coverage for filariasis elimination, Leogane, Haiti. Trans R Soc Trop Med Hyg 97 :501–505.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16

    World Health Organization, 1996. Report of the WHO Informal Consultation on Hookworm Infection and Anemia in Girls and Women. Geneva: World Health Organization. WHO/CTD/SIP/96.1

    • PubMed
    • Export Citation
  • 17

    Torlesse H, Hodges M, 2001. Albendazole therapy and reduced decline in haemoglobin concentration during pregnancy (Sierra Leone). Trans R Soc Trop Med Hyg 95 :195–201.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18

    Asaolu SO, Holland CV, Crompton DWT, 1991. Community control of Ascaris lumbricoides in rural Oyo State, Nigeria: mass, targeted and selective treatment with levamisole. Parasitology 103 :291–298.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19

    Olsen A, 1998. The proportion of helminth infections in a community in western Kenya which would be treated by mass chemotherapy of schoolchildren. Trans R Soc Trop Med Hyg 92 :144–148.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20

    Jancloes MF, Cornet P, Thienpoint D, 1979. Mass control of ascariasis with single oral doses of levamisole. A controlled comparison in 3,056 subjects between three incomplete population coverages. Trop Geogr Med 31 :111–122.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 21

    Thein-Hlaing, Than-Saw, Myat-Lay-Kyin, 1991. The impact of three-monthly age-targetted chemotherapy on Ascaris lumbricoides infection. Trans R Soc Trop Med Hyg 85 :519–522.

    • PubMed
    • Search Google Scholar
    • Export Citation
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