Eradicating successfully yaws from India: The strategy & global lessons
Jai P Narain1, S K Jain, D Bora
1Epidemiology & Epidemic Intelligence Service (EIS), National Centre for Disease Control (NCDC), Delhi, India.
The Indian Journal of Medical Research
|July 4, 2015
Summary
India successfully eradicated yaws, a neglected tropical disease, through a nationwide house-to-house search and treatment strategy. Continued surveillance confirmed the absence of community transmission, demonstrating a viable eradication model for other endemic regions.
Area of Science:
- Tropical Medicine
- Infectious Diseases
- Public Health
Background:
- Yaws is a neglected tropical disease primarily affecting tribal populations.
- Historically considered a major global health burden.
Purpose of the Study:
- To outline India's successful yaws eradication strategy.
- To demonstrate the feasibility of yaws eradication in endemic countries.
Main Methods:
- Implemented a national initiative in 1996 focusing on active case finding via house-to-house searches.
- Treated identified cases and their contacts with long-acting penicillin.
- Conducted post-elimination surveillance and serological surveys in children aged 1-5 years.
Main Results:
- Achieved yaws-free status nationwide by 2004.
- Post-elimination surveys confirmed the absence of community transmission.
- Demonstrated the effectiveness of the eradication strategy.
Conclusions:
- Yaws eradication is achievable with strong political commitment and sustained community engagement.
- India's experience provides a scalable model for yaws elimination in Africa and Asia.
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