Interventions for Onchocerciasis

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Age Cohort: 12 - 24 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative
Community Level
Education and social mobilization for successful prevention and control of onchocerciasis	Annual community-directed treatment with ivermectin Vector control Personal protection against insect bite	Recognition signs and symptoms of Onchocerciasis	Oral ivermectin	Orientation and mobility training Eye care to prevent blindness and treat ophthalmic comorbidities
Primary Care
recognizing, responding to and referring cases of Severe Adverse Events (SAEs) following treatment with Mectizan® to a designated health facility for clinical management of such cases. (Same for community distributors and all health personnel involved in the program) Community awareness and education on Onchocerciasis	ground larviciding using environmentally safe insecticides vector control using mainly the spraying of insecticides against blackfly (genus Simulium) larvae Primary Prevention through . Annual preventive chemotherapy with single dose of Ivermectin.	History Physical examination	Oral ivermectin	Orientation and mobility training Eye care to prevent blindness and treat ophthalmic comorbidities Provision of a white cane and other assistive products to support senses other than sight (e.g. alarm signallers, talking watches)
Referral Facility: General
Community awareness and education on Onchocerciasis recognizing, responding to and referring cases of Severe Adverse Events (SAEs) following treatment with Mectizan to a designated health facility for clinical management of such cases. (Same for community distributors and all health personnel involved in the program)	Primary Prevention through Annual preventive chemotherapy with single dose of Ivermectin.	History Physical examination Slit-lamp ophthalmic examination Skin snips Serological tests	Oral ivermectin Manage Mazzotti reaction	Orientation and mobility training Eye care to prevent blindness and treat ophthalmic comorbidities Provision of a white cane and other assistive products to support senses other than sight (e.g. alarm signallers, talking watches)
Referral Facility: Specialist
Community awareness and education on Onchocerciasis recognizing, responding to and referring cases of Severe Adverse Events (SAEs) following treatment with Mectizan to a designated health facility for clinical management of such cases. (Same for community distributors and all health personnel involved in the program)	Primary Prevention through Annual preventive chemotherapy with single dose of Ivermectin.	History Physical examination Slit-lamp ophthalmic examination Skin snips Serological tests	Oral ivermectin Manage Mazzotti reaction	Orientation and mobility training Eye care to prevent blindness and treat ophthalmic comorbidities Provision of a white cane and other assistive products to support senses other than sight (e.g. alarm signallers, talking watches)