News / Africa

New Strategy Aims to Eradicate Elephantiasis

Philip Graitcer
The tropical disease known as lymphatic filariasis, or elephantiasis, affects 120 million people worldwide.

The devastating parasitic illness causes lymphedema, in which legs, arms and genitals swell to enormous size. Now, a new public health strategy, tested in Nigeria, is raising hopes that this crippling disease can soon be eradicated.

In the quiet of a courtyard in the northern Nigerian city of Jos, a dozen people sit in a circle on white plastic chairs, talking about their affliction: lymphatic filariasis, an infectious disease also known as elephantiasis. John Umaru, the group leader, made the introductions.

"This is the Jos lymphedema support group, also known as Hope Group," Umaru said. "It is an association of people who are already suffering from lymphedema or elephantiasis, which is a chronic stage of the lymphedema. They meet here regularly so they will share experiences and share some ideas on how people have survived with this condition."
Hamisu Isa has suffered from lymphatic filariasis, or elephantiasis, for more than two decades. (VOA/P. Graitcer)Hamisu Isa has suffered from lymphatic filariasis, or elephantiasis, for more than two decades. (VOA/P. Graitcer)
x
Hamisu Isa has suffered from lymphatic filariasis, or elephantiasis, for more than two decades. (VOA/P. Graitcer)
Hamisu Isa has suffered from lymphatic filariasis, or elephantiasis, for more than two decades. (VOA/P. Graitcer)
Lymphatic filariasis (LF) isn’t fatal, but the grotesque and often painful swelling never goes away, and those who develop elephantiasis face the lifelong stigma of disfigurement.

Hamisu Isa, a member of the Hope Group, is a big man, dressed in a brilliant blue robe and brown turban. Isa has had LF for about 25 years. His left leg is enlarged.

He comes to the Hope Group to learn how to take care of his leg and to cope with his deformity. Umaru translated as Isa describes his rigorous daily care routine.

"He soaks his leg inside a bucket full of water and then now wash with soap, and then use this towel to dry the skin after that he now applies some Vaseline ointment, and then he now goes to his working place," Umaru said. "At the working place, he is very careful so that he doesn’t get injured. After work he comes home, he washes again, and then apply the same ointment, and then he will sit and raise his legs."
 
Fortunately, Isa may be among the last people here to suffer from lymphatic filariasis. The Nigeria Ministry of Health and the Carter Center, a philanthropic research institute established by former US. president Jimmy Carter, announced recently that they have successfully stopped the transmission of LF in this part of the country.

Nigeria has the world’s third highest number of lymphatic filariasis cases, after India and Indonesia. LF is spread from person to person by a mosquito bite, which transmits tiny parasitic worms called microfilaria into the victim’s bloodstream.

Dr. Adel Egege, who directs the Carter Center’s LF prevention program in Jos, explained how the disease progresses.

“These adult worms block the lymph system. It results in an accumulation of fluid," Egege said. "This accumulation…could be in the arm, in the leg, in the scrotum. And we call it elephantiasis because the…area is roughened and thickens out like the skin of the elephant. It looks rough and tough.”

Egege said the Carter Center, working with the local health department, has been running what’s called a mass drug administration, giving two anti-parasitic drugs to everyone in the region, and distributing mosquito-proof bed nets to most families to prevent the nighttime insect bites.

That combination of the drugs and bed nets  blocked the spread of the LF parasites, effectively eradicating the disease in the test area.

"With the mass drug administration, we had substantially removed all the infection, but with nets added for two years, we have not seen any worms in the mosquitoes," Egege said.

The results of the pilot program have been so promising, said Egege, that the Nigerian government is planning to expand the program throughout the entire country.

Carter Center and Nigerian health officials are hopeful that, with a nationwide campaign, LF could be gone from Nigeria within six to 10 years, sparing future generations its terrible consequences.

When that day comes, though, there will be no relief for those already stricken with lymphatic filariasis, people like Hamisu Isa and members of the Hope Group. But  their permanent disfigurements will be dramatic reminders of this bygone tropical scourge.

You May Like

Multimedia US Nurse ‘Cured of Ebola,’ NIH Says

Nina Pham, Texas nurse who treated first Ebola patient in US, received no experimental drugs; WHO expects vaccine surge in 2015 More

Video Islamic State Militants Encroach on Baghdad

Iraqi capital not under ‘imminent threat,’ US military says, amid worries about foothold More

Video Hong Kong Protesters Focus on Holding Volatile Mong Kok

Activists say holding Mong Kok is key to their movement's success, despite confrontations with angry residents and police More

This forum has been closed.
Comments
     
There are no comments in this forum. Be first and add one

Featured Videos

Your JavaScript is turned off or you have an old version of Adobe's Flash Player. Get the latest Flash player.
After Decades of Pressure, Luxembourg Drops Bank Secrecy Rulesi
X
October 21, 2014 12:20 AM
European Union finance ministers have reached a breakthrough agreement that will make it more difficult for tax cheats to hide their money. The new legislation, which had been blocked for years by countries with a reputation as tax havens, was approved last week after Luxembourg and Austria agreed to lift their vetoes. But as Mil Arcega reports, it doesn’t mean tax cheats have run out of places to keep their money hidden.
Video

Video After Decades of Pressure, Luxembourg Drops Bank Secrecy Rules

European Union finance ministers have reached a breakthrough agreement that will make it more difficult for tax cheats to hide their money. The new legislation, which had been blocked for years by countries with a reputation as tax havens, was approved last week after Luxembourg and Austria agreed to lift their vetoes. But as Mil Arcega reports, it doesn’t mean tax cheats have run out of places to keep their money hidden.
Video

Video Kobani Refugees Welcome, Turkey Criticizes, US Airdrop

Residents of Kobani in northern Syria have welcomed the airdrop of weapons, ammunition and medicine to Kurdish militia who are resisting the seizure of their city by Islamic State militants. The Turkish government, however, has criticized the operation. VOA’s Scott Bobb reports from southeastern Turkey, across the border from Kobani.
Video

Video China Political Meeting Seeks to Improve Rule of Law

China’s communist leaders will host a top level political meeting this week, called the Fourth Plenum, and for the first time in the party’s history, rule of law will be a key item on the agenda. Analysts and Chinese media reports say the meetings could see the approval of long-awaited measures aimed at giving courts more independence and include steps to enhance an already aggressive and high-reaching anti-corruption drive. VOA’s Bill Ide has more from Beijing.
Video

Video US ‘Death Cafes’ Put Focus on the Finale

In contemporary America, death usually is a topic to be avoided. But the growing “death café” movement encourages people to discuss their fears and desires about their final moments. VOA’s Jerome Socolovsky reports.
Video

Video Ebola Orphanage Opens in Sierra Leone

Sierra Leone's first Ebola orphanage has opened in the Kailahun district. Hundreds of children orphaned since the beginning of the Ebola outbreak face stigma and rejection with nobody to care for them. Adam Bailes reports for VOA about a new interim care center that's aimed at helping the growing number of children affected by Ebola.
Video

Video Young Nairobi Tech Innovator on 'Track' in Security Business

A 24-year-old technology innovator in Nairobi has invented a tracking device that monitors and secures cars. He has also come up with what he claims is the most robust audio-visual surveillance system yet. As Lenny Ruvaga reports from the Kenyan capital, his innovations are offering alternative security solutions.
Video

Video Latinas Converting to Islam for Identity, Structure

Latinos are one of the fastest growing groups in the Muslim religion. According to the Pew Research Center, about 6 percent of American Muslims are Latino. And a little more than half of new converts are female. VOA’s Carolyn Presutti travelled to Miami, Florida -- where two out of every three residents is Hispanic -- to learn more.
Video

Video Exclusive: American Joins Kurds' Anti-IS Fight

The United States and other Western nations have expressed alarm about their citizens joining Islamic State forces in Syria and Iraq. In a rare counterpoint to the phenomenon, an American has taken up arms with the militants' Syrian Kurdish opponents. Elizabeth Arrott has more in this exclusive profile by VOA Kurdish reporter Zana Omer in Ras al Ayn, Syria.
Video

Video South Korea Confronts Violence Within Military Ranks

Every able-bodied South Korean male between 18 and 35 must serve for 21 to 36 months in the country’s armed forces, depending upon the specific branch. For many, service is a rite of passage to manhood. But there are growing concerns that bullying and violence come along with the tradition. Reporter Jason Strother has more from Seoul.
Video

Video North Carolina Emerges as Key Election Battleground

U.S. congressional midterm elections will be held on November 4th and most political analysts give Republicans an excellent chance to win a majority in the U.S. Senate, which Democrats now control. So what are the issues driving voters in this congressional election year? VOA National Correspondent Jim Malone traveled to North Carolina, one of the most politically competitive states in the country, to find out.
Video

Video Comanche People Maintain Pride in Their Heritage

The Comanche (Indian nation) once were called the “Lords of the Plains,” with an empire that included half the land area of current day Texas, large parts of Oklahoma, New Mexico, Kansas and Colorado.The fierceness and battle prowess of these warriors on horseback delayed the settlement of most of West Texas for four decades. VOA’s Greg Flakus reports from Lawton, Oklahoma, that while their warrior days are over, the 15,000 members of the Comanche Nation remain a proud people.
Video

Video Turkey Campus Attacks Raise Islamic Radicalization Fears

Concerns are growing in Turkey of Islamic radicalization at some universities, after clashes between supporters of the jihadist group Islamic State (IS) or ISIS, and those opposed to the extremists. Pro-jihadist literature is on sale openly on the streets of Istanbul. Critics accuse the government of turning a blind eye to radicalism at home, while Kurds accuse the president of supporting IS - a charge strongly denied. Henry Ridgwell reports from London.

All About America

AppleAndroid