Follow-up of the EAC 6 recommendations

t. WORLD HEALTH ORGANIZATION ORGANISATION MOI.IDIALE DE I.A SANTE ONCHOCERCIASIS CONTITOI. PROGRAI.I}IE IN I.'EST AFRICA PROGR.A}IIIE DE LUTTE CONTRE LIONCIIOCERCOSE EN AFRIQUE DE L'OUEST Ba;nako 16-20 Jurre 1985 FOLLOI.'-UP OF TI{U EAC6 RECOI.OIENDATIONS Prtnclpal recorumenda t 10ns - PresenC document I T Progra mrtle con t c c the n E P uc c 1on an t Edlng the ec n DIv1s on reI a rPos s Ibte f fec t o f. a8 rIcu1 cur,a I Pe c 1c Ides 1n rhe P ramute ndcollabora t 1 w1 h FAO U }IEP rog a rea a t Inon t , and Ehe Pa rt Ic l. Pa E 1n8 Gove rnllle n ts con td ho 1d 11n terna t 1ona 1 t{o rk h 1 order er ng anoP n to P rotuo t a e rea cer eco log tca I awa r nes ft I us In He t Af s os r ra 20 - Nothlng - The range of larvicides ls adequace for the carrylng out of clre excenslons bucshould be continuously suppleoenied by the products of a continuoirs lntensive scree-ntng ln order Eo have back-up larvlctdes. ei a Eatter of facc, all the fiveoperatlonal larvicides have llmitattons Eo chelr use under cerEatn condiElons,because of that vcu may have to ucillze all of chem durlng one and che same year, _'::"nt.n9 back-uP ploducc ln case of fallure (sEoppage of producri.on, delivery rlme,new reslstance, etc. )-- EXPERT ADvISORY CO}OIITTEE Seventh meeEiug - Exploratory aild area. The staCe of tmplemented sirhin the circurosCances. ocP/EAC7 .6 ORIGINAI. : Ft(iiNClt - vcu has aluays been uaklng such oodlflcaElons at the beglnning of every season andweek and any tlroe thac theri ts a -hard blow- d produce a paper acElon taken on 9 I The Prograome shou for the EAC ahead of lts each EAC recomnendat 1on Para ra neet ingsrevlewl fu tureche follor.r-u l1 whllsc areas Para s ressE i het de ne d enc foP nan8 t ect tE vee ts rtcon 1ro a on het ra otegy n8e val Ia Ib e and tno 1 the o r Ea onal1n8 con r,E Ia n tspe fo heE ufo r rvla cI desIrvIao f c idesI !ra eE of r c no tadequa ro1 EO undbe er at ken nt E he t nse 1ex9Ira larvicldes a the arsenal 1 t reav t nEE t tCac tcs be Iood f as 1ar et hrotaP P cPro htughou Pre anl[e ra aea no8r,ce al1se the1n Wes et Exrn et 1onns ra ae P ra ra 28 v ) exP lo r,a tory s E ud I e I n E he tJe te rn ex f e n S Ion a rea bethe I v SOro u Iv Pu rsued thac to ope ra E o ImP Icme n ted P Ia nned n cco rd a nce tti Eh the Lo ng-Te c he bene t I t f t lr P rm s t ra t e8yo e P rese n E roI r'4ru[e a rea a nd f t he a f fec t ed lr I 1ad a cen E to th d I tma n po Pu E onse se neu, E rea t e r ve r s r ra h 3 2 llreparaE,ory scudies are being pursued tn cht, r.ruscern Exterrst.nl)rog,ress ulIl be rcporced co EAC.7. Tlre opo,.,i ,ion" wtll berhe frameqrork of rhe adopred straregr by aaa,rliig rhe cacrtcs to .i s e , e se I o vi) trr ordcrE the tJest,errr and rneeE Ehe challenge Souchern Excenslon o f ri:,: arcas Ist.rrrce Ehe{lnploy ing C trnrrn conC ro page 2 operatlons shou Procecche treatmenE Eacttcs proposedblc I in such a manner as co ensurc Inir): Pa rrr ra h40 vil I n scudylng t excenslon areas clle che Epldemlologica I , es ca bI i shed aruongs E Unics Par ra 46 I sl.th mlnlmum ecological i .pact - The maxtmuru desErucElon of Iarvae r,ritlr,:riuimum ecologtcal impacc has always beeqa major corlcern of oCP. The cable o€ntiorrr'r.l must be used wlth cauclon u""o.ro ii-arrOE cOnstifuEe a SCrategy selecElon docrr::rt,nE. Tlre riSks Of reststanCe associaLed ,,the "llghc alcernative" should be consid.-,rcrl caretully r.rhen reckonlng on the..rhytand especially "conclnuiry" facEors. Tlrr: i.t(.ctiorr of the opEtons depend:rls.6n qlarvtcides uEllized, Ehe targec spec ics , '-lre epidemiologicai rtsks, ecc; Elris r.rilltreaced ln che VCU progress reporE. 0ct ItI h1' hq h cIosesE posst e lintomologlcal and collaboraclon Socloeconomic shr>u Idbe Dcve Iopmeng - Agreemencs have been concluded che colleccton of "baslc daEa.., and Mall; - In close collaboratlon wlth ECO, rhe Ehe preparaElons for the socloeconomlc eplderulologlcal surveys. for che selecclon of nedlcal evaluatlon villages togon the basis of VCUrs catchlng results for Guinea nat ional su rveys teatrs of Gulnea and Mall are making at che saEe tloe as Ehe - Plans have also been made coordinacely by che chree unlts, for the collecc,ion ofreference , denographtc and socioeconornic evaluaElon data ln Ehe untreaEed acE.ivefoct ln the western ExEenslon area r.rhere che disease seeurs to be progressive, aswell as the epldeolologlcal reevaluaclon of rhe souchern exEenslon area for urhich vcupossesses flve or slx yearsr encomologlcal daca. v i I I the P rog ramqe rev 1 ew the ques E i o n o f c ra nsml s s ton as bI 1 t d 1 he bas a Pu t. h pro emnc u ng t, 1c va 1 ue and us e o t c he A B R/ATP 1 ndex or1g tna I1y drawn 1re 1a E 1 t lemen Pa u p non o res t E t ra ra 4 8 - An deEalled analysls of enEonologlcal dara has been scarted as well asepldemlologlcal results tn relatlon to Ehe relevanE encomologlcal data. the lascest - The planned Farako study nill concenEraEepotentlals and bltlng rates ln an area with a - Pre-larvlcldlng ATp data ls belng collecced enderulclty In the lfestern ExEenslon area. - The questlon of transulsston has been dlscussed ln detall durlng the EeeEtng onapplled oodellng ln December 19851 1n9 lt ls planned ro conplete f prettmlnaryverslon of a furl transrolsslon nodel before rire end of 19g6. - rc ls proposed to hold ln 1987 a-r.rorkshop co revtew the current entomologlcalcrlterta and to deflne acceptable lcvels for che ATp and ABR for differenc vecr,orspecies and eplderulologlcal serclngs. (Scc also Doc OCP/EAC7.g). on the relatlon between transotsslon suall reservolr of old lnfecElons. ln a nuober of vlllages wlch varylng ix) a deral evaluatlon be underca ken of clrc epi eolologlcal meEhods bclng used bIche Programme r.r1Eh part lcular ref eren ce co rhelr va1ld1ty, s lopllclty and qualtryncrol for uclIlzat,l.on durlng devolu Eion and chat gutdellne s be erltten up and are rt resenEed to he next session of the EnC Par h49ra - A urorkshop was held ln Ouagadorrgotr are ln che reporE OCP/EAC7.3. Eo thac effecc. The results of the deliberarlons - Lasc year's priorltles were mainIl'clre comprecion of daca processlng of software iuOuagadougou' the.transfer of atl EPI arrd gr,rrb daca from Geneva and che developmen. ofappropriate analysls systems tn order co meet tte-ae.anas from the dtffcre.c trnirs.rE ls oou ngsg5tary to revlew tlrcse prioricles whlch depend on those of che ochercechnical untts as well as the nechanisms for saiisrytng them. This reirl be dlscrrssertaE the end of May wlrh vcu and EpI during . ,"iaiig on data analysrs and checonclustons presented Eo the EAC. - See EpI progress reporE (OCp/EpI/l,R/g6.1 - OCP/EAC7.g) - Thts w111 have to be deferred cirr more speclflc tnforoaclon ts goc on wrrac wihave to be done under aevotution. a, regards "oiio""onomic deveropment see xxvi. - Thts reconnendatton concerns only chemotherapeutrc research. - A dellvery porlcy has been formularcd for the drug uhen avallable (ln thts caselvermecrtn) (see Documenc ocp/incz.t _ ocp/gO.gl. page 3 se asPec II -. Tr9 r.rord processors have been inscalled slncthe disposal of all che scaff. Nine secrecarlevery short tratning uhlch has ro be perfecced. e November 1985 and have been pur. ars from all the unlts have receirea a - A word processor has been ordered for Bamako. - Hosever' these word processors do not solve the probleos of wrlte-up lnasmuc. as ,l:ilr:;: rerated to ctre trte a""ored ro reflectron and rr," pr."cice or sclencrfic Xvi f lnanc I resources uere scrained eophas s be giveIre sea rch lrhl ch could lead to co st-effccctvc o raclonal ch x cs ia I tape eE cn oI n be d1 tPa E d1 e IioP o cai I v,E Iuaa Ec o1 n U inIdevo tu n1o P ra ra 50 resct.tl ement areas artdo clre c boEir immlgrancs by tn the contcxc clre oftn Ehe shorc-ternr and drawn up an conscrainEs xi) decailed rts of Eh e Pro ramme beari clre St.rcisri cal Unic be irr ,.ni rtd Clre rac c lca I ag rced wiuh allr 52See I,a r.r r,l priorictes for xl nE a ybe ng aness and specla stu Cevolut lon to c he d ta a socesPr lngt eh cso oI coe on cml ed raDme Para ra 53 ana lys i s req ui red xlii) in vlerr o factllcie sbe che masslvedocurDen ca t ion ovided ln O do u Pa ra loadont ra 54 P rograture and c nee to work of process ing encourage scaff to wrlte up and publtsh the the Programne, word x v les rbae re1c sea tuds c fon nue1 beEO ra xv het) da sres het cEA eE r o at 1su ablt e I teEy6veryrd o r ash e ftnsuen c 1cff 1cu8 velen Ic n E ro:ro It waon as 1va aI 1eb on the cu 1tprod on sc eh du le andba 1eb reat tnen t I ollten f the I Es rede d Pa ,ar 60 - Thts Is already the practtce ln rhc vccEor Control Unlr. ntot Par ra Er; r 6!, ) t:]aa FI e vectors, be cor.rcinued with relev page 4 paras i Ees a n(l:lllt itt LcnEion betng given Eo che new tecitnol og tes - See (1r). xviii researclr inco e foresc an s.. \,.lnna onchocerc lasis, cheirc va 1 Iable fors ies differen Elacion Pa ra ra h 75 - Studles on DNA a O. volvu lus have mad human as well as an nalysls for che diffcrenclaEion ofe tt posslble co discinguish che gelnal filariae. che forest and savantrh f ormq ^cnus Onchocerca from thc oatro.'., - This has been a prlociry in VCU for n long1984. The tasr.""ulr" "on""inii!.,," idenctrelatlonshlp between Ehem and cte epidemlol 91C1: However, no subsranclal progr"", shoulfield as long as rhe srralns-o[ 6.votrutrs ,(parasicologlcat research). -tiirffi" Elrne and has been tntenslfied slnceflcatlon of the vecEors and theoglcal forns ulII be presenced duringd be expected tn pureiy entonotogtcat cannoE be ldentlfled ln rhe vecforsluslon of all experEs comolttees. - See EpI progress reporE, research secrion (OCP/EAC7.g). ooder has been ucirlzed for the analysls of the nosc recenc EpIrdlct the crends rn future. sone or ti," re"utts-r"-r" or"""nced to1985' The analysis of che latest Erends has hlghrighced cheeleraEed fall in prevalence. - An agreeEenE has been concluded eiEh rhe unlverslcy of Rotterdao for thedevelopment of a vecEor/prrr"ii"-rodel in whlch-vcur- srAT ;;;-ipi-pr"y"d an acriverole' The recomnendatlons of the Eeetlng herd for that purpose tn Rotterdau wereuseful for the plannlng or rreiJ rescs and rhe deralled analysls of the Et{To dara. - See also progress reporr on applled modelllng (OCP/EAC7.5). - The host/paraslte daca ln order Co prethe JPC in Deceoberpredlctlon of an acc 1 ll - The draft of the manual on rhe procedurebeen prepared. for slmple epldenlologlcal evaluarlon has - A-devoluEion plan for the chree counErtescollaboratlon r.rlEh a consuia"",l-ar," parclcof the WHO Regtonal offlce foi-ifrr"". .1n 0OZ.l 1s belng flnallzed tntpaclng Countrtes and the subregloo I n paraslEology and , Gulnea and Senegal. opmcn C 35 anhi ra c s sc er c deve be contl nued vr1 bec ause of cEivlC of rhe of res is canr': e ,rtoric Pa r'r la rvici h 68) c lnmunod iagnos t 1c Eest be a che e as mP rS€ Pa ra sn cI I ve a nd 1sPec r 7 7ha xix to lorlt for rhe p poenc o ramme in app nodenue ng and report ck coI ts work I fs next xx the ,h 82Para asessLon rogratrme cont Irx het P nI UrograrDEe I t h nI ts du 1 tv heng dDanPOI,er eve tn1u Pelte na dncreme a t Ira 1n nreg f,or devo lu Bt nto ludlnc 1 the r,n8 Pre ta onIPa and fle1dt teser I1a oPa t t ar nItlng87 In8 xxl i the uo volut ion ra 1 88 lca tlons of ar mm e aro8 I os s udc EI h HOt.,v het fre ro e na d rre t ba kc chc manageEenC EAC Pa ra cralnl che P - ln the Western Extenslon zone, OCp has glven tralntngepldeotorogy to the members or ine narl0nar teaos of Ma C eao Page 5 - r\n experimenc on-communlty parctcig>acion 1n veccor control is belng carried otrE inBandiagara (ltaIi) (Doc. OCp/EAC7.Z). - The inclusion of blackfly trapplng irr che surveirance neEuork ts beLrrggerre ra I I zed . e xx 1 Ii t e ar mmeP taes b Iro8 s lr rtro ka t n or uoo I cr I1c E oI n vpa nI e Coc rPa nco rt Io na d rr ce apap aP r ra h 8 9 lnesp Eo draw up gui plan of action or communiEy lmplcmcnEa t ionfor rhetr Ixx v hc e c c Eimpa on loecosocv tnom c d vc oI n t comPme C ed S nP oo Sa s bI eIPon1 rdeo r co s c s hb1 I ot r c he ht rdL f t llcna aI I e a n r ca on1ph Ia tme hod ooPe Io r.rh c1 h8v1 II ma ke tI so 1 lebP acf o fre Iu eund r at ndly hc e e nomenon tph o ml L'EE oni Sa t I a sgrot noo tI ro 1a nd-occu ndc isoc oPa oc omn 1cv c Ira s a hf e cco runge nIv E ehn hc eoc 1rc a s 1s-con E Iro eI d er sa rPa a ra I9 - The preltmlnary rePort on the scudy of che impact of the prograruue on socioeconomicdevelopmenE $'as presenEed to che donors meeci.nj'and the Jpc ln December 1gg5. somecrends eoerge from lt : the challenge which tf,e "oncho zone- seems Eo consEiEutebecause of : lEs agronomlc poE,enclali which can help srow down the drlft from rherural areas to che coastal lorns; che rore play"J uy the progranmers operaEions inEhe esEabllshuent_of new popurations as serr as develop'ent projecEs; thedlversifrcaElon of agrtcuitrrar product,s and the intenslflcatlon of livestockproductlon; land occuPancy and ruanagemenE which pose ecologlcal probrems reraced Eodeforestatlon and soil deiradarlon. - rt made lt possibre, ln Noveuber 1985 to lay the foundatlons of a methodorogy forthe collecEion of baslc data in the excenslon'area. Three quesEtonnalres have beenprepared and submttted co the natlonal Eeams of each country for commenEs. - The mechodology ls lmpleoented ln corlaboraclon crlch the other unlts. Thus, in Ehecore area' EPr contlnues Eo lnforu ECO abouc n", s"tctenents in the vlrrages r.rhereonchocerclasls has been brought, under concrol. - - Eco/EPr have carrled out a three-eeek olsslon ln the extenslon area to garherlnformatlon on the dlstrlbuclon of rhe dtsea;; ";; rhe popularlon per rocaliry. AEilP syoEheslzlng thts lnformatlon ls belng pi"p".ia. rE ,,ul enable each unlr rodeflne a sanpre of vlllages wlch the possiuiiily-ir inre8rarlon of data tn theanalyses. - Detalled programroes for the collectton of entoroologlcal, epldenloroglcal andsocloeconoralc lnformatlon uill get of the ground in occober-November 19g6 ln the rheuntreaEed areas ln the west. me aSee crevelogy 1ot n tI s En ta oIlmP nco 1aI rbo ta nlo t I h cc he dI IElu oEp Ilca alEvlog Eua n1o tUn t and hE ePa r, ha 92 thls operE ona ector Control Unl t teu from a contlnual ouc E, a r.1 i ) f 1f Ic enuS c or rceu a susbc red ot E eh oEc Inno c oDeve tn Upme n t1 to e blta Icco r'l!l nu tc onI t, 1 htj heE P Er cI f IE n c upa n r eLEc s na d s o son Irp eIn8 c rrotAgencfe et vtc vi. I a c ksv e s tn i I ta o hc Pr r mm c a nd co8 c t lr D t rec ot r a roa c ht cPpS son r 1 nPo Ic eng Ag EO d ce re t tte Iror.r bes c oc n Ia s (, hev t va I la Ieb Eda aP r ara83 ph - Plans have been made for Ehc analysis of the socioccono.c data. They cotrr6 varyaccordi.ng to urhether ECO should collecc and analyse lEs orn data or stnply coordinatethe effeccltre acrlvlEles tn rrre dlfferunc p..ii"ip".rng countrres. as s S s a lt a ( Pagc 6 xxvl I c lre Programme catalyse invesci gactons inEo potenEia Iopmcncat prob Ieostclr nactonal governoencs aod ocher bilaceral and nulEtlateral agencles (Paragrap6 - Tlle restrlcs of the scudy of che impacr of che programne on socloeconornicdevelopmenc have been presenced co che representaEtves of che partlcipartngcountries' They revear tlre dangers of nn.rnarclric rcseEEIer[ent of che onclrocerctasts.procecced lands (deforestaclon, degraclacion of che soils, eEc.). e study of tlreecologlcal impact of che resecclemencs is being conducted ln Burklna Faso. txxv 1 I het n nro cma U In c 1 n P be t ers E eh ned oci't8 t I c nPut,1 t o nct ear se scon i rde b1a het nI fo mar iE nov If ow to the Ib tcpuCou rE esI Do no r nCou rc e1 s na dn Ic se ndaABe ro 1c o de c uc ar CeP nI c rn ca on1 Ia 1esc tn fI tc mnuco In c w I I nE h are os n bIe E met I1 1m sE a o EI oI n oc naeP Par ra h99 Particlpaclng lnformatlon co the - A consulcanc in te rna E lona I has been recruited since January 19g6. He has contacted neurs agencles, culturar and press act,ach6s and eobassies. local and - Filro shows have been organlzed for che general publlc in the rvory coasr - vldeo cassectes have been distrlbuced co rhe Parttclpatlng Countrles forterevislon sEat,ions. However, the informatron office can onry serve as acommunLcacion ltnk beEween Ehe ocP unlcs and che sclentlflc clmmunlty, theof matertals stllr betng Ehe responsibiliry of Ehe experts and researchers. and Ghana. thei r wr 1 t,e-up ra ry acilicles lcs sEaI could beraoved Par xxlx the ProgramnE revleur how access to lih 101 - A DocumentaEl-on centre has been escabrislred and corlaborates closery wich thechtefs of unlc and oEher staff nenbers for rhe obtent,lon of relevanE documenEs andbooks. - rc has been planned to offer tralnlng co che offlcer ln charge of Ehe cencre aE thet'lHO Headquarters ln Geneva Eo enable her famitiarlze herself nlEh the neworganlzattonal and nanagerial technlques. lJOr eon deu1 r Ie na t E oo8yP be he nI a re anonProgranoeI sba Is and t8 tha het te Is no IaPro EAs ft be ven1 theg t Iun to oc n IuoPPor ty tIscI ht ne IE If lnsc tE1 u tt ons runde keta II rte ta u cre lesud undeand r ro fe 1onal8o P1ovee P ra'aE a LO2 - A uorkshop was organrzed ln January 19g6. (see Doc ocp/EAc7.3). xxx t rs o f the EAC vI s t t P a nd I t s i eld resea rch tI bo he ac v t 1e s 1nd I v dua I Iy toea r EO re a u t t de Ea 1 I s o f the ope ra E I on s a nd to Id f 1 -handa s s Is ta 1 f eded Pa Prov e rs t adv lce a dnce E a h 10 3 - Tuo mernbers of the EAC r'r111 makc such visic shortly before the seventlr meeclng. I e s t s