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The availability of resources in turn depends on social stability, economic wealth, and priority allocation of resources to public health.

Adverse events were more common in the ivermectin group, but all events were mild and resolved quickly.

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Currently, more than 70 million treatments are approved for onchocerciasis in Africa and Latin America and 80 million for lymphatic filariasis in Africa and Yemen each year.

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Geneva World Health Organization 2001 Takougang I Meremikwu M Wandji S Yenshu EV Aripko B Lamlenn SB Eka BL Enyong P Meli J Kale O Remme JH Rapid assessment method for prevalence and intensity of Loa loa infection Bull World Health Org 2002 80 852 858 12481206 Murray CJL Lopez AD The Global Burden of Disease Cambridge Harvard University Press 1996 Chippaux JP Boussinesq M Gardon J Gardon-Wendel N Ernould JC Severe adverse reaction risks during mass treatment with ivermectin in loiasis-endemic areas Parasitol Today 1966 12 448 450 15275280 10.

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Another subset of problematic infections is known as neglected tropical diseases (NTDs).

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The extent to which the incidence of a disease is sensitive to a nominated change at a particular geographical location depends on the interaction of the disease organism, its vector, its host population, and the environment (Fig.

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While the disease is not a direct cause of mortality, the socioeconomic consequences of onchocerciasis are profound and extend beyond the individual, affecting families, communities, and countries as a whole.

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Gardon J, Boussinesq M, Kamgno J, Gardon-Wendel N, Demanga N, Duke BO: Effects of standard and high doses of ivermectin on adult worms of Onchocerca volvulus: a randomised controlled trial.

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Hopkins also served four years on the Technical Consultative Committee of APOC and has completed almost four years as chairperson of the NGDO coordination group for Onchocerciasis Control.

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Active community engagement and participation has successfully empowered communities to manage and supervise the distribution of the medicine, ivermectin to millions of people.

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They concluded that the now 17-year old Mectizan Donation Program is a successful and cost effective program for preventing the debilitating effects of river blindness.

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In Africa, where it was once thought the disease could only be controlled, strides are being made to completely eliminate the disease from a number of countries.

Ducorps M Gardon-Wendel N Ranque S Ndong W Boussinesq M Gardon J Schneider D Chippeaux J-P Effets secondaires du traitement de la loase hypermicrofilarémique par l'ivermectine Bulletin de la Societe de Pathologie Exotique et de ses Filiales 1995 88 105 112 Gardon J Gardon-Wendel N Demanga-Ngangue Kamgno J Chippaux J-P Serious reactions after mass treatment of onchocerciasis with ivermectin in an area endemic for Loa loa infection Lancet 1997 350 18 22 9217715 10.

Our own pre-Civil War slavery laws, for example, required us to treat slaves like property, and the laws of Nazi Germany required anti- Semitic behavior.

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In 1998, the donation of Mectizan was expanded to include the treatment of lymphatic filariasis in those African countries where that disease is co-endemic with onchocerciasis.

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