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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:
 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.
* 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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