Table 4.
Timeline (mean years) to the elimination target for the intensive disease management diseases for no interruption, a 12-month interruption, and a 12-month interruption with an example mitigation strategy
Target | Mitigation strategy | Intensive disease management diseases (baseline endemicity) | Years to target with no interruption | Years to target with 12-month interruption | Years to target with 12-month interruption and mitigation | |
---|---|---|---|---|---|---|
Visceral leishmaniasis | <1 visceral leishmaniasis case per 10 000 per year at subdistrict level (India) | A 12-month extension of the attack phase (increased indoor residual spraying and active case detection) | High (10 cases per 10 000 per year); medium (5 cases per 10 000 per year) | 9·5 (high); 2·3 (medium) | 10·9 (high); 4·1 (medium) | 10·0 (high); 4·1 (medium); target reached before start of mitigation strategy |
Gambiense human African trypanosomiasis | Elimination of transmission | Resuming active screening at maximum historical level with passive detection set back to values before interruption | High*; medium* | 32 (high); 13 (medium) | 33 (high); 14 (medium) | 31 (high); 12 (medium) |
The number of years to target are calculated from 2018 onwards.
Transmission levels inferred from number of reported cases (appendix pp 22–24).