Resource Planning for Neglected Tropical Disease (NTD) Control Programs: Feasibility Study of the Tool for Integrated Planning and Costing (TIPAC).

<p>Resource Planning for Neglected Tropical Disease (NTD) Control Programs: Feasibility Study of the Tool for Integrated Planning and Costing (TIPAC)</p

Controlling Neglected Tropical Diseases (NTDs) in Haiti: Implementation Strategies and Evidence of Their Success

<div><p>Lymphatic filariasis (LF) and soil-transmitted helminths (STH) have been targeted since 2000 in Haiti, with a strong mass drug administration (MDA) program led by the Ministry of Public Health and Population and its collaborating international partners. By 2012, Haiti’s neglected tropical disease (NTD) program had reached full national scale, and with such consistently good epidemiological coverage that it is now able to stop treatment for LF throughout almost all of the country. Essential to this success have been in the detail of how MDAs were implemented. These key programmatic elements included ensuring strong community awareness through an evidence-based, multi-channel communication and education campaign facilitated by voluntary drug distributors; strengthening community trust of the drug distributors by ensuring that respected community members were recruited and received appropriate training, supervision, identification, and motivation; enforcing a “directly observed treatment” strategy; providing easy access to treatment though numerous distribution posts and a strong drug supply chain; and ensuring quality data collection that was used to guide and inform MDA strategies. The evidence that these strategies were effective lies in both the high treatment coverage obtained– 100% geographical coverage reached in 2012, with almost all districts consistently achieving well above the epidemiological coverage targets of 65% for LF and 75% for STH—and the significant reduction in burden of infection– 45 communes having reached the target threshold for stopping treatment for LF. By taking advantage of sustained international financial and technical support, especially during the past eight years, Haiti’s very successful MDA campaign resulted in steady progress toward LF elimination and development of a strong foundation for ongoing STH control. These efforts, as described, have not only helped establish the global portfolio of “best practices” for NTD control but also are poised to help solve two of the most important future NTD challenges—how to maintain control of STH infections after the community-based LF “treatment platform” ceases and how to ensure appropriate morbidity management for patients currently suffering from lymphatic filarial disease.</p></div

Dumas amoureux

L’Éros proprement amoureux de Dumas, qui le poussa à accumuler sa vie durant conquêtes et maîtresses, est la figure emblématique d’une énergie vitale et d’un désir de littérature et d’action qui n’avaient pas, en tant que tels, fait l’objet d’assez d’attention. Proposant une « éro-poétique » de l’œuvre dumasienne, l’ouvrage y aborde le désir selon plusieurs directions privilégiées. Il explore le désir amoureux et érotique, sa représentation, sa productivité et sa portée dans les différents genres illustrés par Dumas (théâtre, romans, contes, récits de voyage, autobiographie et écrits intimes, causeries…). Il envisage plus largement le désir comme une origine et un foyer de la création dumasienne, permettant d’en comprendre la fécondité, la variété, mais aussi les modes d’énonciation et de réception. Il s’intéresse enfin aux empreintes du désir chez les descendants biologiques et littéraires de Dumas, et à la façon dont les motifs sentimentaux et l’érotisme façonnent l’imaginaire qui se déploie dans les réécritures, les adaptations ou les suites de ses œuvres, telles que le D’Artagnan amoureux de Nimier

Variables associated with treatment outcomes.

<p>Variables associated with treatment outcomes.</p

Number of people treated and cumulative number of treatments given by program year.

<p>Number of people treated and cumulative number of treatments given by program year.</p

Project costs (FY 2010–2014).

<p>Project costs (FY 2010–2014).</p

Dengue Virus Infections among Haitian and Expatriate Non-governmental Organization Workers — Léogane and Port-au-Prince, Haiti, 2012

<div><p>In October 2012, the Haitian Ministry of Health and the US CDC were notified of 25 recent dengue cases, confirmed by rapid diagnostic tests (RDTs), among non-governmental organization (NGO) workers. We conducted a serosurvey among NGO workers in Léogane and Port-au-Prince to determine the extent of and risk factors for dengue virus infection. Of the total 776 staff from targeted NGOs in Léogane and Port-au-Prince, 173 (22%; 52 expatriates and 121 Haitians) participated. Anti-dengue virus (DENV) IgM antibody was detected in 8 (15%) expatriates and 9 (7%) Haitians, and DENV non-structural protein 1 in one expatriate. Anti-DENV IgG antibody was detected in 162 (94%) participants (79% of expatriates; 100% of Haitians), and confirmed by microneutralization testing as DENV-specific in 17/34 (50%) expatriates and 42/42 (100%) Haitians. Of 254 pupae collected from 68 containers, 65% were <i>Aedes aegypti</i>; 27% were <i>Ae. albopictus</i>. Few NGO workers reported undertaking mosquito-avoidance action. Our findings underscore the risk of dengue in expatriate workers in Haiti and Haitians themselves.</p></div

Cascade training.

<p>Cascade training.</p

Geographic regions of partner support for the National NTD Program (2000–2014). Data Source: USAID’s NTD Database.

<p>Disclaimer: Data may have not yet been approved by at least one level in the USAID NTD data review process.</p

Treatment coverage in Haiti, 2009–2014.

<p>Treatment coverage in Haiti, 2009–2014.</p