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Postelimination Cluster of Lymphatic Filariasis, Futuna, 2024
Emerging Infectious Diseases
|March 2, 2025
Summary
Lymphatic filariasis (LF) has resurged on Futuna Island, with a 2% child antigenemia prevalence detected, exceeding the post-elimination target of 1%. This indicates a need for renewed mass drug administration and enhanced surveillance to control the spread of this parasitic disease.
Area of Science:
- * Tropical Medicine and Public Health
- * Infectious Disease Epidemiology
Background:
- * Lymphatic filariasis (LF) elimination programs aim for <1% child antigenemia prevalence.
- * Two clinical LF cases were detected in Futuna (Wallis and Futuna) in 2023, signaling a potential resurgence.
- * The island is a post-elimination setting for LF.
Purpose of the Study:
- * To assess the current prevalence of LF in Futuna following the detection of new cases.
- * To identify high-risk areas and potential risk factors for LF transmission.
- * To inform public health strategies for LF control and prevention.
Main Methods:
- * A cross-sectional prevalence survey conducted in May 2024.
- * Target population: Schoolchildren under 18 years of age.
- * Inclusion of spatial analysis and investigation of housing conditions; secondary investigations for microfilariae.
Main Results:
- * An estimated antigenemia prevalence of nearly 2% among children in Futuna.
- * Identification of a spatial cluster of LF cases in Taoa village, with a child antigenemia prevalence of 7.5%.
- * Association found between LF infection and traditional housing; microfilariae detected in contacts.
Conclusions:
- * Findings suggest a resurgence of LF in Futuna, surpassing post-elimination benchmarks.
- * The high prevalence in Taoa village and link to housing warrant targeted interventions.
- * Recommendations include initiating mass drug administration with triple therapy and strengthening surveillance systems.
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