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Disease FILARIASIS
   
Quotation “Mosquitoes were suing my ankles for filling stations”
   
Definition Widely prevalent topical disease cause y one of 3 filial nematodes W. Bancrofti, B. Malayi, and B. timori (the last one found only in Indonesia.), and transmitted by mosquitoes. Lymphatic filariasis is a chronic disesase with the adult worm living in lymphatic vessels and glands and microfilariae that are blood dwelling living for up to 12 months.
   
Prognosis Good in the early case including in those with lympoedema, cyluria, or a small hydrocoele, but in advanced infection the prognosis is poor. Psychological impact on those with limb and scrotal deformities enormous.
   
General Measures Bed rest, antibiotics for secondary infections, elastic stockings and pressure bandages for limb oedema, prevention of secondary infection.
Suspensory bandage for orchitits and epididymitis.
No satisfactory therapy for chyluria.
   
Prevention Common salt medicated with DEC (1-4 gms added to 1 KG of common salt.)
DEC given 6 mg/kg body weight co administered with a single dose of Ivermectin (400ug/kg) every 6 months, in endemic areas.
   
Reference From math.smith.edu/~sawlab/fgn/pnb/treat.html
   

 

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