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Saint Lucia revisited.

R Bos¹, M Février, A B Knudsen

¹Robert Bos is secretary of the WHO/FAO/UNEP Panel of Experts on Environmental Management (PEEM), WHO, 1211 Geneva 27, Switzerland.

Parasitology Today (Personal Ed.)

|October 1, 1988

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Saint Lucia has successfully controlled schistosomiasis, intestinal parasites, and malaria, improving health outcomes. The island now addresses Aedes aegypti and Aedes albopictus mosquito-borne diseases like dengue.

Area of Science:

Tropical medicine
Infectious disease epidemiology
Public health interventions

Background:

Saint Lucia has a history of significant schistosomiasis control programs.
The island achieved notable success in controlling intestinal parasites and eliminating malaria.
This has led to demographic indicators comparable to industrialized nations.

Purpose of the Study:

To highlight Saint Lucia's success in controlling parasitic and vector-borne diseases.
To discuss the island's current focus on managing Aedes aegypti and Aedes albopictus.
To underscore the region's challenges with yellow fever and dengue viruses.

Main Methods:

Review of historical public health programs in Saint Lucia.
Analysis of demographic and mortality data.

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Assessment of current vector control strategies.

Main Results:

Effective control of schistosomiasis, intestinal parasites, and elimination of malaria.
Demographic and mortality patterns now resemble industrialized countries.
Saint Lucia is a focus for new community-based programs against Aedes vectors.

Conclusions:

Saint Lucia demonstrates successful disease control, transitioning to challenges of arboviral diseases.
The island's experience offers insights for other Caribbean nations facing Aedes-borne illnesses.
Continued community-based efforts are crucial for managing current and emerging infectious disease threats.