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Filariasis

 

National Filariasis Control Programme In India and New Strategies for Its Control

 

VII. National Filaria Day (NFD)

 

It was proposed to observe a particular every year for NFD which is to be observed in 13 endemic districts, covering a population of about 40 million.  The extension of NFD to other endemic places would be done in a phased manner after evaluating the results after the conclusion of  the pilot trials.

 

The single dose of 6 mg DEC per kg body weight has to be adjusted and age group-wise  approximate. dosage and cost would be as follows:

 

DEC Dosage Schedule

 

Conventional

Streamlined

Age

(in years)

Dose of DEC

Cost*

Age

(in years)

Dose of DEC

Cost*

>1

Nil

-

<2

Nil

-

1-2

  50 mg

  4 paise

2-5

100 mg

8 paise

3-4

100 mg

  8 paise

5-8

150 mg

12 paise

 

6-14

 

200 mg

 

16 paise

9-11

200 mg

16 paise

12-14

250 mg

20 paise

>14

300 mg

24 paise

15 & above

300 mg

24 paise

 

Note:

(i) Most of states under Elimination of Lymphatic Filariasis have been following the conventional DEC dosage while Tamil Nadu has introduced the streamlined DEC dosage schedule due to lesser number of tablets (100 mg tablets only) to be consumed by community and the age groups are also reduced to enable the drug distributor for memorising the correct dosage.

 

(ii). * The cost of DEC is variable from year to year and also weight of the tablets.

 

Thus average per capita expenditure for DEC alone comes to 20 paise as the requirement is worked out by multiplying the target population by 2.5 for 100 mg tablets or 5 for 50 mg tablets. This formula takes care of buffer stock required to meet the exigency in space and time. There would be additional inputs in the form of IEC, POL expenses, monitoring and evaluation to the state.  The workshop recommended that these four components are to be borne by the Centre, while the remaining expenditure is to be borne by the state.  The per capita expenditure to be borne by the Centre would be around Rs.1.50 per annum.

 

It is envisaged that the implementation of the revised strategy for the control of lymphatic filariasis in India would enable our country to join the comity of nations in eradicating the ugly scourge suffered by multitudes of population in the vast endemic belts.

 

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