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While the original goal of the program was to control the disease, recent evidence from WHO indicates that elimination is now feasible in Africa.

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The reduced LogMAR 'E' chart was used because of ease of administration and standardization as well as the relative lack of familiarity with the Roman alphabet in Nigeria.

The first two countries that can eliminate the disease by end of 2014 or early 2015 are Niger and Senegal.

Avoidance of bites from insect vectors is usually not feasible for residents of endemic areas, but visitors to these regions should use insect repellent and mosquito nets.

To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below.

International efforts to control disease through vaccination are not new.

This will include ongoing monitoring as well as management of vector breeding sites, avoidance of contact with vectors in housing, and changes in human behavior patterns.

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In West Africa, the risk of blindness due to onchocerciasis used to affect up to 50% of adults leading to whole communities abandoning their fertile river valleys due to the fear of the disease.

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Homeida M Braide E Elhassan E Amazigo UV Liese B Benton B Noma M Etya'alé D Dadzie KY Kale OO Sékétéli A APOC's strategy of community-directed treatment with ivermectin (CDTI) and its potential for providing additional health services to the poorest populations Ann Trop Med Parasitol 2002 96 93 104 11989538 10.

The disease is estimated to infect over 120 million people, with more than 40 million incapacitated or disfigured with swelling of the limbs and breasts (lymphoedema) and genitals (hydrocele), or swollen limbs with dramatically thickened, hard, rough and fissured skin (elephantiasis).

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Further attempts, involving mass treatments of several million people with ivermectin, were initially hindered by a lack of coordination until the advent of the African Programme for Onchocerciasis Control in 1995 ().

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Lymphatic Filariasis, the cause of elephantiasis, affects more than 120 million people in 80 countries worldwide, and is an extremely painful, debilitating and disfiguring disease.

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Any product information or advice on this site is provided for informational purposes only and should not be used as a substitute for the advice provided by your own medical practitioners.

Murdoch ME, Hay RJ, Mackenzie CD, Williams JF, Ghalib HW, Cousens S, Abiose A, Jones BR (September 1993).

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