Liasion with the participating countries

L i.v- ,(/t. rli',"u. ,*lz',k t tJvlvr.-ia From:r Dr E.!I. SambaPrograme Director Mm{oRff{Drnl [o: All C]riefs of Units, Date: 15 Aprll 1981 Soetrices, Sectors, ancl Sub-Sectors No. 5/et _Eler11onu5[hlhe_Peg_ti_c_trq!LirlsCqrLtasillll Frm 28 l'larch to ! April the Prograune Director vislted. the nationnl healttr antl development autharities in Ivoql Coast, Ghana, Togo and. Senin vhere he was received by Presitlent Kerekou and. net with Dr Qlrenum. fn all hls meeti.nge the Director stressetl the Prograr"me comitroeut to healthfor all by year 20OO antt or:r fi-m lntent to hamronlze orr conffi.bution to the haalttr progrcnne r:f the osuntrl,en. ft has been agpeed. that we wou1cl repont ar find.ings on public health to AFIi0 so that the Reg:ional 0ffice nay help the countrieg concernecl to work out adequate solutions. flhe countries vrere bror:ght up to d.ate on the progress of our aptl- vlties and on the problem of reeistance to tenephos in fvory Coast, as uell as on the measures taken to ensure Brqper treatment of rivers during the forthcoroing rainy seosorrr The countries were atso ii:fomecl of tire meeting on economic tLevelop- ment heltl in Rome at the end of Januaey between the representatives of the Agencies and. of the Ecpert Advisory Comittee where it has been a€peecl that our effort shoultl tencl to make donors aware of the health policLes of the oountcies anil the participating oountries aLra^tre of the fund,ing policies of the tLono::s. It has been agreecL with the participating countrieg visitecl so far that the Programme would help in preparlng a report responilJrrg to the neecls of all Lnterestetl parties antl that this woulcl involve the comitment of national resouroes, proper stuclies and project d.ocumentation. Itemorandum of t Ghana Ttre Memorand.r:m of Agreeurent for the seconct phasc 1980-1985 hae now been si6ned by the Gwernnent of Ghana. TLre document was handeil to the Prograrrme Director clurlng his vislt in Accra. oc3 Dr C.A.A. Quenrm, RDO/AI'R0 Dr Dlr J. Hauon, ADG/5Q Dr nr A.o. Lucas, tDRAIq h Drr N.G. Gratz, WC/gq DrDr T. Lepbs, MAPAIQ I{r Dr A. Davis, PDP^IQ IvLr I{r C. M*rou, INF/HQ I1[r Mr C. Vignes, IEG^IQ I{I Dr F. Grant, CDo/AIRO I{r Dr F. Martin-Sanos, 'l,IPC/Oraga Mr Dr K, Wa^:rd.-Brew, N[.IC/Accra IUr DB F. Silou, WPC/Cotoiou J.J. ilrA]meiita, l,IPC/Sarnako[, Atayi, l,IPo/Abidjan J. i{right, NtrlC/Nianey A.K. MrBayerBc/t'on6 B. Allsbah, i{or1cl Baqk J. Peberdy, World- Bank S. Denning, Worltl Bank S. Nicholas, FAO C.G, Groom, FAO 11. Doo lGngu6, UIIDP S. ItrDLaye, UI{DP .J a 2Entonological Su-::rreillance In the east the situa,tion remaj-ned virtually r:nchanged. over the last tlrree vreeks in spite of the heal6' cut-back in treatment some two months a6o. In tire west, except at Pont Routier where treatment has been suspencled. in ord.er to a1low a larger population of resj-stant flies to become established. so that they oan be used for tra;rsmission studies, the situation in Ivory Caost has heen staible. Fly d.ensities on the untrea,ted. rivers show no appreciable changes. This is probab]1' dus to the very low d.ischarge now being experienced. on aII rivers except on tkre Sassand.ra. A helicopter prospection last week confirned. ttrat there lrere no positive breed.in3: sites on the River Ccmoe downstream from its junction rdth the Leraba, thereby also confirming tliat the resistant flies are limitecl to the stretch of rivor between Pont Leraba and- Comoe. The r^reek before, a helicopter prospection on tire headwaters of the Sassandra shoued. th.at la::vae lrere surviving Aba.te treatirents on a.II tributaries except on the Sien Rj-ver. I'1r Franlc t,Ialsh is now back in the Prograrnne aJeea. In ad.dition to handling the meeting of hydrobiologists r,rhich is to be held by the end of }{ay in Oua6adousou he vrill be more specially concerr:.ed. in improving the efficiency of tl:.e weellly entomological evaluati-on. S,,s 9 e pti-Li-Lig_-99s t s. treatnents have been suspend.ed. on the 3aou1e ancl 3a6oe wtrere suscep- tibility tests are being carried. out tiris ,,reek. Aerial Onerations Abate is the only insecticid.e presently used. in the ',lhoIe Progarnne area. -{ard.1y any cl:anges €Lre to be note<i in t}re helicopter treatrnent circuits which are thcse of the d:qr season. i[o fixecl-wing aircraft is used. anrl spraying is clone by J helicopters in th.e r'restern zone and 1 helicopter in tl:e eastern Zot'L€o Tire average drop of Abate d.oes not e:rceed. one litre. Aerial Contra.ct 3y telex on 2 April the Programrre also confirmed. to the CCC that FIVIIQ had been advised to pay the Corporation {}f57r850 for aerial servioes during the month of llarch as well as 1il9l rB15.70 for excess hours used. dr.rring the for:rth quarter of 1!80. By telex on 10 April the Programme Director confirmed. to }tlr Coste11o, represen'bative of CCC, that ,,.'e i^rould require for tl:e first treatment cycle ln May reliable ;Lbate/chlorphoxim tolerant spraying equi-pment on one f-ixed.-r+ing aircraft and. on trvo helicopters. aPrepqqation for the rairql sea"son A meeting took place in Korog:i:o on 1 and 2 April to infomr the sector and. suh-sector chiefs of the western zone of the d.ecisions of the working group on the temephos resistance and. to d.ecide on ways of inproving the sr.irveillance of rivers where resistance has been reported- or vrhere resistance nay appear in the futr:re, with particular attention on the headwaters of tre Baoule and Bagoe rivers and. on the lower Comoe. A second. meeting took place in Bobo-DiouLasso on ! April between the evaluation and aerial operations staff of VCU to d.ecid.e on a stra- tery for the control of sinulir:rn resistant to temephos. Ilne basic concept wouId. be the use of chlorphoxim on rivers where these flies are present but tire number of cyslss rrrould be 1i:nited. to three or four. 0n rivers vrhich had previously proved to be sources of invading flies treatrnent vrould. continue with Abate and. chlorphoxim would. not be rein- troduced r.rntil biting rates attain a level of 50 flies per mary'per d.ay. Regard.ing the si:rall focus of resistant flies on the leraba, aerial prospection vril1 be camied. ou-t to determine its exact extend. and., stocks pezmitting, we will attenpt to control this focus at the beginning of the wet season using Bacillus thuri4gierrsis H.14. Ep_idenioLoptr By letter ,cn 25 March tire Programme Director info::oed. the Minister of Health of Ivory Coast of the forthcomiqg detailed evaluation of the villac'e of Longo, 1'Iiaharamand.or:gou sub-prefecture, from J0 April to J l(ay, of the vi11a6e of Avrahilso, sub-prefecture of Sandegue, from 5 to I0 l{ay, arrd. of the village of Fetekro, sub-prefectr:re of Brobo, on 14 end 1) llay. Research At the requ.est of Dr 8.0.L, Dr:ke, Clr-ief, FII/TDR, L-iQ,, sera fron infected. adults and from child.ren untLer 5 years ',,rho have never been erposed. to 0 volnrlus are being sent this vreek to Dr Karen Forsyth at the Labora ory of Immuroparasitology of the \'tra1ter and Eliza IIaI1 Institute of i{edicaI Researeh, i.ielbourne }iopital, Australia. fhese vriII be used. to test the potential usefulness of the surface antignns of Q. gibsoni microfilariae for irurunod.ia8nosis of 0. volvrrlus infectionsin humans. [he Prograrne r.ril1 be most interested. in the results of the tes ts . Use of Teled.etection On 8 April the Progan:roe recelved. ivlr Jean-Pierre Ouedraogo, Director General of the Centre regional d.e T6l6d.6tecti-on of O:agadougou. Ifr 0uedraogo explained. the progress of the Centre since its establishment. The Centre expects to be equipped, sno a.s to receive the landsat data by 1984-1985. -4- Depend.ing on the type and. quality of se:srices available the Progra,orne expressed. its interest in rnaps covering the hyd.rography network and its variations, as well as s'bud.ies on the use of land. made available through vector control for resettlenoent as well as for agriculture and other economie d.evelopmen-b projects. This visit was followed- on l0 April by the visit of l.lr Albert Van Dijlc, frcm the F.IIO Teled-etection Centre in Rorae, offering the sane services as the Oua,gadorlgou Cent::e. Use of [elecommunication 0, JI March the Progranne received. the visit of lttr Christian Dinaud. and I'fi:re Martine Pierchon carrX,ing a stud.y for the fnstitut por:r 1e D6veloppeinent et ItAm6na6emeirt d.es T6l6corcmunications et de ltEconom'ie(mm), of Montpellier, France. [he study concerns itself with the use of telecomnunications in d.evelopment and., as far as the Programne is concerned., of telecommuni.cations in a health project, _Trainint In answer to a request fron AIRO for a one rnonth training for Dr V.Jil. Vioukov, AFIIO Project IBC 001, the Prograrune Director, by memo on 2 April, suggests that the visit startsduring the second. half ofJu1y. A training Fogramrne is also being: proposed.. illrdrolotrr - Benin Tiee equipment made available to Benin for the establishment of B hydroloEy sta,''uions in the exteirsion study zone of tlLat eountry was delivered. on J illrril in Parakou. ft was receivecl by iir lrflatac, the CR.S'ICI'I hydrologist resporrsible for 'uire establiskr-ment of these stations, in the presence of the Director of Hea.l-th for the,Borgou province, re1:resenting the i'iinister of }Iealtir, nnci the -r&ainistra.tive Secretarlr of tire National Onchocerciasis Comrnittee. ItIational Onchocerciasis Coruni ttees I[eet ]-nq 'Iire info:rna.tion circular and. the provisional agend.a and prograrnmefor ttie fifth :aeetiag of the Neutional Onchocerciasis Conu;rittees to be held. in ltTianey from r0 to 12 June have been na.iled. on IJ April to all the participatir\g countries a,nd- to Senegal and. Guinea invited. to attend. as observers. Arurual neeting of the Ecoloaical Group As a result of tlte informal meetirrg of the working: group on temephos resistance which took place by nid.-March in Geneva, it has been d.ecid.ed. to advance the clate of the Ecological Group rneeting from the end of August to 2B-2! llay. The mernbers of the Ecological Group will rneet in Oua6adougou i.rmed.iately after the meeting of the Hyd.robiologists. It V.Lu^*^ ? l*-^lt^^.r rI-.P. Supthut \-- --- -- !ir ll 8lol +rl flit df;t it ,q ll ltu' OH,t @ e8r |!, ,{:, -;.1 tr a3 u c.) 26 ac 6 e(5 E z 6 0 o ar: Ct6() LE F =ocr F ,- J =E E a5o&c U o- -2 tl, ari G e, z dtl UL t o n e o{I ..! tt i0 a,! 0 .s I ; T g9\E.! 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