National Mass Drug Administration for Lymphatic Filariasis (LF) Elimination

Ministry of Health and Family Welfare has launched the Annual Nationwide Mass Drug Administration (MDA) Campaign for Lymphatic Filariasis (LF) Elimination

About MDA campaign

  • Goal: To reduce the spread of LF by eliminating the microscopic filarial parasites present in the bloodstream of infected individuals, thus preventing further transmission by mosquitoes.
  • Implementing Agency: It is led by the National Center for Vector Borne Diseases Control (NCVBDC) under the Ministry of Health & Family Welfare.
  • Coverage: 111 endemic districts across 13 States – Andhra Pradesh, Assam, Bihar, Chhattisgarh, Gujarat, Jharkhand, Karnataka, Kerala, Madhya Pradesh, Maharashtra, Odisha, Uttar Pradesh, and West Bengal. 
  • It is a core component of India’s LF elimination strategy.
  • It focuses on the door-to-door administration of anti-filarial medication, ensuring that every eligible individual consumes the prescribed medicine to stop the transmission of the disease.
  • It involves the supervised administration of a combination of anti-filarial medicines to all eligible individuals in LF-endemic areas, regardless of whether they show symptoms.
  • Medication regimen includes:
    • Double Drug Regimen (DA): Diethylcarbamazine Citrate (DEC) and Albendazole
    • Triple Drug Regimen (IDA): Ivermectin, Diethylcarbamazine Citrate (DEC), and Albendazole
  • Exempted groups from taking medication
    • Children below 2 years of age
    • Pregnant women
    • Seriously ill individuals

About Lymphatic filariasis

  • It is parasitic disease that affects the lymph nodes and lymph vessels.
  • Commonly known as “Hathi Paon”
  • Caused by: Microscopic parasite nematodes (roundworms) of the family Filarioidea
  • Transmission: Spread from person to person through mosquitoes.
  • Effects: It impairs the lymphatic system and can lead to the abnormal enlargement of body parts.
    • It can lead to physical disabilities such as lymphoedema (swelling of the limbs) and hydrocele (scrotal swelling) and impose long-term burdens on affected individuals and families.
  • Disease burden in India: Currently, there are 345 lymphatic filariasis endemic districts in 20 states and union territories of the country.
  • Elimination Target: India has committed to eliminate Lymphatic Filariasis by 2027, three years ahead of the global target under the Sustainable Development Goal of 2030.

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