Preventive chemotherapy (PCT) diseases, controlled by mass drug administration (MDA) programmes |
Lymphatic filariasis (elephantiasis) |
Worm transmitted by mosquito |
Tropical and subtropical countries in Africa, Asia, the Western Pacific, the Caribbean and South America |
Annual/biannual MDA (ivermectin, albendazole and DEC), vector control through insecticide-treated bed nets or spraying |
Global elimination |
Onchocerciasis (river blindness) |
Worm transmitted by black fly |
Primarily occurs in tropical sub-Saharan Africa (99 % of cases) |
MDA (ivermectin) and vector control |
Country elimination |
Schistosomiasis (bilharzia) |
Intestinal worm, water-borne transmission with snail intermediate host |
Affect at least 240 million people worldwide. Most commonly found in Africa, as well as Asia and South-America |
MDA (praziquantel) to school-agechildren and high-risk adults, along with WASH and possible snail control |
Regional and country elimination |
Soil-transmitted helminthiasis (roundworm, whipworm, hookworm) |
Intestinal worms transmitted via soil contaminated with fecal matter |
Over 1 billion people affected, particularly in sub-Saharan Africa, India and Southeast Asian countries |
MDA (albendazole, mebendazole) treatment of school-aged children. Treatment of pre-school aged children and women of childbearing age is also recommended. |
75 % coverage with (bi)annual PCT |
Blinding trachoma |
Bacterial infection transmitted by flies, fingers and fomites. |
84 million active cases globally. |
MDA (azithromycin) and surgery, along with improved hygiene |
Global elimination |
Intensified disease management (IDM) diseases, controlled by increased diagnosis and management of cases |
Chagas disease |
Protozoan transmitted by triatomines (kissing bugs) |
8 million infected in the Americas, 10,000 deaths per year. |
Spraying with indoor residual insecticides, housing improvements. |
Regional elimination |
HAT (sleeping sickness), Gambian form |
Protozoan transmitted by tsetse fly |
<4000 new cases in 2014 |
Treatment, active/mass screening and vector control with tsetse targets. |
Global elimination |
Leprosy |
Bacterium with unclear mode of transmission: contact or droplet likely |
200,000 new diagnoses per year, >80 % from India, Brazil and Indonesia |
Early diagnosis and treatment |
Global elimination |
Visceral leishmaniasis (kala-azar) in the Indian sub-continent |
Protozoan transmitted by sand fly |
200,000–400,000 cases annually, 80 % in Indian sub-continent. |
Indoor residual spraying of insecticides, insecticide-treated bed nets, active case detection, rapid diagnosis and treatment |
Regional elimination |