ARAB REPUBLIC OF EGYPT

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ARAB REPUBLIC OF EGYPT MINISTRY OF HEALTH AND
POPULATION
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Endemic Gov.
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Lymphatic Filariasis in Egypt

• Nocturnally periodic lymphatic filariasis
  caused by W. bancrofti infection is prevalent in
  rural areas of Egypt
• Culex pipiens is the main mosquito vector
• The disease has focal distribution in 6 governo-
  rates of the Nile Delta,Giza and Assiut governo-
  rates in Upper Egypt Over 2.5 million people are
  at risk

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How the program of Elimination of Lympatic
Filariasis was started in 2000
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• 1- Preparatory Phase
• 1- Detection of Villages( IUs ) By
• Collection of epidemiological data from
  all previously examined area (by night blood
  samples) which was done by
• Dr El-Shawarby during 1955-1965 ,
• MOH P during 1976-1999 through LF Control
  Program. TV COMEDIES

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• Analysis of these data to get the real
  information about the endemic areas (Villages ) (
  How many, Geographical Situation , Number of
  inhabitant, Climatic circumstance , occupation ,
  Crops Harvesting time, School Time, Level of
  Health Services , Different local Occasions
  etc.)

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• 2- Epidemiological Analysis for each area
  (Village ) i.e the
• prevalence must be ? 1
• All the Villages with pr valence ?1 after
  1992 be included to the program.
• All the Villages with prevalence ?1 before
  1992

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• re-examined by ICT Card to
• detect its present situation to be
• included or excluded from the
• program .
• The total number of the
• villages as ( IUs )to be included
• in the program was 161 on
• 2000.

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2-Implementation of the LFEP 1- National
Commitment . 2- Formation of High National
Steering Committee. 3- Design Printing of
Different forms to be used by different
program staff at 2 level
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4- Calculation of total population to Detect
needed drugs of both types DEC
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• Albendazole.
• Detect the number of Drug Distributor Teams
• 5- Training Activities
• Training of trainers (TOT) (Schedule)
• Training of traineese.
• Preparation of Training booklets
• Preparation of Training schedules.

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• 6-Community Participation Social Mobilization
  health education through
• Peripheral Level (Village Leader, School
  Teacher,
• Agricultural Leader, Religious Leaders
  Posters).

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• Central Level ( TV comedies ?Video taps
  (community participation ), Different
• meeting through the most famous TV programs
  i.e Good Morning Egypt , Good Evening Egypt and
  Ministerial meeting with all Peripheral and
  Central
• staff to encourage them to do their best during
  the program days (15 days).

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7- Pre-treatment Assessment By choosing 2(IUs)
as Sentinels in each district to be evaluated
and to detect the present prevalence before
applying MDA(by using night blood samples)
8-Drug Distribution among all the inhabitants
(except Children lt 2 years, Pregnant Women,
very sick patients).
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9- Post-treatment Assessment for these 2
Sentinels to be evaluated and to detect the
present prevalence 10-Impact of last 4 mass drug
administration (MDA) at the prevalence of the
disease ( 6 months after applying MDA ).