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4 th?? SEPTEMBER, 2004
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??????????????????????????????????????????? THE LYMPHATIC FILARIASIS, COMMONLY KNOWN AS ELEPHANTIASIS, IS CAUSED BY A NEMATODE PARASITE.? THE DISEASE? IS TRANSMITTED THROUGH INFECTED FEMALE CULEX MOSQUITOES. DURING? ACUTE? ATTACKS, THERE WILL BE FEVER, REDDISHNESS AND SWELLING OF CERTAIN PARTS OF THE BODY, CAUSING ACUTE SUFFERING AND INCAPACIATION.? BEING CONSIDERED AS A HIDDEN DISEASE, FILARIASIS WILL MANIFEST AFTER YEARS, AS ELEPHANTIASIS OF LIMBS, HYDROCELE etc.? FILARIASIS? RESULTS IN PERMANENT DISABILITY & DISFIGUREMENT.? FILARIASIS? CAUSES OF BROKEN / LOST MARRIAGES? & IT
????? IS THE CAUSE AND EFFECT OF POVERTY.
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DISEASE? BURDEN :
??????????????????????? 1100 MILLION PEOPLE LIVE IN
??????????????? ? ????80 ENDEMIC? COUNTRIES
??????? ????????? ??120? MILLION CASES OF FILARIASIS
?????? ?????????? ???40 MILLION DISABLED
??????????????????? ??????????????? 40 %? OF GLOBAL BURDEN
22 OUT OF 25 [UNDIVIDED] STATES ARE ENDEMIC
553 MILLION PEOPLE ARE AT RISK OF INFECTION IN 257 DISTRICTS
20 MILLION SUFFER FROM ELEPHANTIASIS OF LIMBS
12.88? MILLION FROM HYDROCELE
31.6 MILLION ARE CARRIERS OF DISEASE
??????????????????????? ???????????? ??????????????????????????????????????????????????????????????????????????????????????????????????????????
TAMIL NADU
??????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????? ??????????????????????????????????????????????????????????? 25864 LYMPHODEMA CASES
??????????????????????????????????????????????????????????? 8794 HYDROCELE CASES
??????????????????????????????????????????????????????????? 3 CRORE PEOPLE ARE LIVING IN
13 FILARIA ENDEMIC DISTRICTS
TAMIL NADU LOSES 112 MILLION MAN DAYS A YEAR
Rs. 335 CRORES IS THE ANNUAL ECONOMIC LOSS
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??????????????????????????????????????????????? ANYBODY ESPECIALLY IN ENDEMIC AREAS, MAY HAVE FILARIA DISEASE CAUSING MICROFILARIA WORM IN HIS / HER BLOOD. IT NOT ONLY AFFECTS ONE BUT COULD BE TRANSMITTED TO OTHERS ALSO.
??????????????????????????????????????????????? TO KNOW THE PRESENCE OF MICRO FILARIA, NIGHT BLOOD EXAMINATION SHOULD BE DONE FOR EVERYBODY. NIGHT BLOOD EXAMINATION TO ALL 3 CRORE POPULATION WILL BE LESS PRACTICAL, BECAUSE? OF? INCONVENIENCE,DISTURBANCE AND FEAR FELT BY PEOPLE, RESULTING IN? POOR RESPONSE.
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THE WORLD HEALTH ORGANIZATION HAS COME OUT WITH A STRATEGY TO ELIMINATE LYMPHATIC FILARIASIS? BY A SIMPLE INTERVENTION ie EVERY INDIVIDUAL IN THE? ENDEMIC POPULATION SHOULD SWALLOW DEC TABLETS ONCE ON A SINGLE DAY, EVERY YEAR, FOR ATLEAST 5 YEARS. BUT, DEC? TABLET ADMINISTRATION TO EVERYONE IS COST EFFECTIVE. IF HUMAN BLOOD WERE MADE FREE FROM THE MICRO FILARIAE OF THE PARASITES? BY SWALLOWING DEC TABLETS, IT WOULD NOT BE POSSIBLE FOR MOSQUITOES TO TRANSMIT THE DISEASE FROM ONE MAN TO OTHER
???? ?????????????????????????????????????????????????????? ??????????
??????????????????????????????? ????????????????PEOPLE? WHO ARE APPARENTLY NORMAL? WITHOUT ANY SYMPTOMS OR DISEASE MANIFESTATION ALSO SHOULD SWALLOW THE TABLETS SO AS TO BREAK THE TRANSMISSION OF THE DISEASE IN THE COMMUNITY.
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???????????????????????????????????????????????? TAMIL NADU IS ONE OF THE 20 STATES? IN THE COUNTRY WHICH ARE ENDEMIC FOR FILARIASIS. IN TAMIL NADU, THE FOLLOWING DISTRICTS ARE ENDEMIC FOR FILARIASIS.
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????? DEC MASS? DRUG? ADMINISTRATION[MDA] IS BEING LAUNCHED ON? 4 th?? SEPTEMBER, 2004 IN THE ABOVE DISTRICTS.
ONE TRAINED? VOLUNTEER WHO WILL BE A RESIDENT OF THAT AREA WILL VISIT 50 HOUSEHOLDS? AND ADMINISTER DEC TABLETS TO THE COMMUNITY?
ABOUT 1,20,000 SUCH VOLUNTEERS? ARE INVOLVED IN THIS PROGRAMME.
????? ABOUT? 3 CRORE POPULATION WILL BE COVERED UNDER THIS? PROGRAMME
????????????????????????????????????????
?????????????????? ?????????????????????????????????DEC?SAFEST? DRUG
??????????????????????????????????????????????????????????? NO MAJOR SIDE? EFFECTS
??????????????????????????????????????????????????????????? MINOR SIDE EFFECTS? ARE? RARE
EFFECTIVE? DRUG IT KILLS THE MICRO FILARIAE OF THE PARASITE, IF FOUND IN THE HUMAN? BLOOD
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????? DEC? TABLET? DOSAGE? SCHEDULE :
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AGE [ IN YEARS] |
DOSAGE |
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1 ? 5 |
100? mg |
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6 15 |
200? mg |
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16 & ABOVE |
300? mg |
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????? THE TABLETS CAN BE CONSUMED BY ALL MEMBERS IN THE FAMILY AS PER THE DOSAGE SCHEDULE EXCEPT CHILDREN BELOW 2 YEARS, PREGNANT WOMEN AND? AILING? PATIENTS
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????? DEC? TABLET? WILL NOT? CURE? ELEPHANTIASIS.
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????? BUT,? SUFFERINGS CAN BE REDUCED BY FOOT HYGIENE, WASHING, MASSAGING, PHYSICAL EXERCISES & TREATMENT OF? INFECTION IN THE LYMPHODEMA LIMBS.
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