Interventions for Lymphatic filariasis

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Age Cohort: Pregnancy and newborn

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Community awareness and education of families and communities on Lymphatic Filariasis To promote positive attitudes towards people with disabilities	Primary prevention through - Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC) - Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC) Vector control against the mosquito using Indoor Residual Spraying (IRS) and use of Insecticide Treated Nets (ITN) Primary prevention through Improvement in community Water Sanitation and Hygiene (WASH) Vector control against the mosquito using Indoor Residual Spraying (IRS) and use of Insecticide Treated Nets (ITN) Primary prevention through Community screening of patients with scrotal swelling. Either the patient himself or a community health worker identifies scrotal swelling and the patient is referred or reports to a level II facility Management of Acute dermatolymphangioadenitis with antibiotics, antipyretics, analgesics Management of Lymphoedema and elephantiasis through limb washing and improved hygiene practices, wound care, foot care, wearing of suitable footwear, physiotherapy and exercise, and the application of antibacterial creams and antifungal creams		Primary prevention through - Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC) - Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC) Vector control against the mosquito using Indoor Residual Spraying (IRS) and use of Insecticide Treated Nets (ITN) Primary prevention through Improvement in community Water Sanitation and Hygiene (WASH) Vector control against the mosquito using Indoor Residual Spraying (IRS) and use of Insecticide Treated Nets (ITN) Primary prevention through Community screening of patients with scrotal swelling. Either the patient himself or a community health worker identifies scrotal swelling and the patient is referred or reports to a level II facility Management of Acute dermatolymphangioadenitis with antibiotics, antipyretics, analgesics Management of Lymphoedema and elephantiasis through limb washing and improved hygiene practices, wound care, foot care, wearing of suitable footwear, physiotherapy and exercise, and the application of antibacterial creams and antifungal creams	Tertiary prevention Counseling - Occupational and physiotherapy
Primary Care
Community awareness and education Education of families and communities on Lymphatic Filariasis Promote positive attitudes towards people with disabilities
Referral Facility: General

Referral Facility: Specialist

Age Cohort: < 5 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Community awareness and education of families and communities on Lymphatic Filariasis to promote positive attitudes towards people with disabilities	Primary prevention through - Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC) - Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC) Vector control against the mosquito using Indoor Residual Spraying (IRS) and use of Insecticide Treated Nets (ITN) Primary prevention through Improvement in community Water Sanitation and Hygiene (WASH) Vector control against the mosquito using Indoor Residual Spraying (IRS) and use of Insecticide Treated Nets (ITN) Primary prevention through Community screening of patients with scrotal swelling. Either the patient himself or a community health worker identifies scrotal swelling and the patient is referred or reports to a level II facility Management of Acute dermatolymphangioadenitis with antibiotics, antipyretics, analgesics Management of Lymphoedema and elephantiasis through limb washing and improved hygiene practices, wound care, foot care, wearing of suitable footwear, physiotherapy and exercise, and the application of antibacterial creams and antifungal creams			Tertiary prevention Counseling - Occupational and physiotherapy
Primary Care
Community awareness and education Education of families and communities on Lymphatic Filariasis Promote positive attitudes towards people with disabilities
Referral Facility: General

Referral Facility: Specialist

Age Cohort: 5 - 11 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Community awareness and education of families and communities on Lymphatic Filariasis to promote positive attitudes towards people with disabilities	Primary prevention through - Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC) - Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC) Vector control against the mosquito using Indoor Residual Spraying (IRS) and use of Insecticide Treated Nets (ITN) Primary prevention through Improvement in community Water Sanitation and Hygiene (WASH) Vector control against the mosquito using Indoor Residual Spraying (IRS) and use of Insecticide Treated Nets (ITN) Primary prevention through Community screening of patients with scrotal swelling. Either the patient himself or a community health worker identifies scrotal swelling and the patient is referred or reports to a level II facility Management of Acute dermatolymphangioadenitis with antibiotics, antipyretics, analgesics Management of Lymphoedema and elephantiasis through limb washing and improved hygiene practices, wound care, foot care, wearing of suitable footwear, physiotherapy and exercise, and the application of antibacterial creams and antifungal creams		Tertiary prevention Counseling - Occupational and physiotherapy
Primary Care
Community awareness and education Education of families and communities on Lymphatic Filariasis Promote positive attitudes towards people with disabilities	Primary prevention - Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC) Secondary prevention measures Diagnosis Management of Lymphoedema and elephantiasis through limb washing and improved hygiene practices, wound care, foot care, wearing of suitable footwear, physiotherapy and exercise, and the application of antibacterial creams and antifungal creams Management of Acute dermatolymphangioadenitis with Antibiotics, antipyretics, analgesics		Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC)	Tertiary prevention Counselling - Occupational and physiotherapy
Referral Facility: General
	Primary prevention - Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC) Secondary prevention measure Diagnosis Management of Lymphoedema and elephantiasis through limb washing and improved hygiene practices, wound care, foot care, wearing of suitable footwear, physiotherapy and exercise, and the application of antibacterial creams and anti fungal creams Management of Acute dermatolymphangioadenitis with Antibiotics, antipyretics, analgesics		Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC) Management of Hydrocele through surgery	Tertiary prevention Counseling - Occupational and physiotherapy
Referral Facility: Specialist
	Primary prevention Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC) Secondary prevention measure Diagnosis Management of Acute dermatolymphangioadenitis with Antibiotics, antipyretics, analgesics Management of Lymphoedema and elephantiasis through limb washing and improved hygiene practices, wound care, foot care, wearing of suitable footwear, physiotherapy and exercise, and the application of antibacterial creams and anti fungal creams		Management of Hydrocele through surgery Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC)	Counseling Occupational and physiotherapy Tertiary prevention

Age Cohort: 12 - 24 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Community awareness and education of families and communities on Lymphatic Filariasis to promote positive attitudes towards people with disabilities. - Community awareness and education of families and communities on Lymphatic Filariasis to promote positive attitudes towards people with disabilities	Primary prevention through - Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC) - Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC) Vector control against the mosquito using Indoor Residual Spraying (IRS) and use of Insecticide Treated Nets (ITN) Primary prevention through Improvement in community Water Sanitation and Hygiene (WASH) Vector control against the mosquito using Indoor Residual Spraying (IRS) and use of Insecticide Treated Nets (ITN) Primary prevention through Community screening of patients with scrotal swelling. Either the patient himself or a community health worker identifies scrotal swelling and the patient is referred or reports to a level II facility Management of Acute dermatolymphangioadenitis with antibiotics, antipyretics, analgesics Management of Lymphoedema and elephantiasis through limb washing and improved hygiene practices, wound care, foot care, wearing of suitable footwear, physiotherapy and exercise, and the application of antibacterial creams and antifungal creams			Tertiary prevention Counseling- Occupational and physiotherapy
Primary Care
Community awareness and education Education of families and communities on Lymphatic Filariasis Promote positive attitudes towards people with disabilities	Primary prevention - Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC) Secondary prevention measures Diagnosis Management of Lymphoedema and elephantiasis through limb washing and improved hygiene practices, wound care, foot care, wearing of suitable footwear, physiotherapy and exercise, and the application of antibacterial creams and anti fungal creams Management of Acute dermatolymphangioadenitis with Antibiotics, antipyretics, analgesics		Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC)	Tertiary prevention Counseling - Occupational and physiotherapy
Referral Facility: General
	Primary prevention - Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC) Secondary prevention measure * Diagnosis * Management of Lymphoedema and elephantiasis through limb washing and improved hygiene practices, wound care, foot care, wearing of suitable footwear, physiotherapy and exercise, and the application of antibacterial creams and anti fungal creams * Management of Acute dermatolymphangioadenitis with Antibiotics, antipyretics, analgesics		Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC) Management of Hydrocele through surgery	Tertiary prevention Counseling - Occupational and physiotherapy
Referral Facility: Specialist
	Primary prevention - Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC) Secondary prevention measure Diagnosis Management of Acute dermatolymphangioadenitis with Antibiotics, antipyretics, analgesics Management of Lymphoedema and elephantiasis through limb washing and improved hygiene practices, wound care, foot care, wearing of suitable footwear, physiotherapy and exercise, and the application of antibacterial creams and anti fungal creams		Management of Hydrocele through surgery Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC)	Counseling Occupational and physiotherapy Tertiary prevention

Age Cohort: 25 - 59 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Community awareness and education of families and communities on Lymphatic Filariasis to promote positive attitudes towards people with disabilities	Primary prevention through - Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC) - Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC) Vector control against the mosquito using Indoor Residual Spraying (IRS) and use of Insecticide Treated Nets (ITN) Primary prevention through Improvement in community Water Sanitation and Hygiene (WASH) Vector control against the mosquito using Indoor Residual Spraying (IRS) and use of Insecticide Treated Nets (ITN) Primary prevention through Community screening of patients with scrotal swelling. Either the patient himself or a community health worker identifies scrotal swelling and the patient is referred or reports to a level II facility Management of Acute dermatolymphangioadenitis with antibiotics, antipyretics, analgesics Management of Lymphoedema and elephantiasis through limb washing and improved hygiene practices, wound care, foot care, wearing of suitable footwear, physiotherapy and exercise, and the application of antibacterial creams and antifungal creams		Tertiary prevention Counseling Occupational and physiotherapy
Primary Care
Community awareness and education Education of families and communities on Lymphatic Filariasis Promote positive attitudes towards people with disabilities	Primary prevention - Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC) Secondary prevention measures Diagnosis Management of Lymphoedema and elephantiasis through limb washing and improved hygiene practices, wound care, foot care, wearing of suitable footwear, physiotherapy and exercise, and the application of antibacterial creams and antifungal creams Management of Acute dermatolymphangioadenitis with Antibiotics, antipyretics, analgesics			Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC)
Referral Facility: General
	Primary prevention - Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC) Secondary prevention measure: - Diagnosis - Management of Acute dermatolymphangioadenitis with Antibiotics, antipyretics, analgesics Management of Lymphoedema and elephantiasis through limb washing and improved hygiene practices, wound care, foot care, wearing of suitable footwear, physiotherapy and exercise, and the application of antibacterial creams and anti fungal creams		Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC) Management of Hydrocele through surgery	Tertiary prevention Counseling - Occupational and physiotherapy
Referral Facility: Specialist
	Primary prevention - Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC) Secondary prevention measure: - Diagnosis - Management of Acute dermatolymphangioadenitis with Antibiotics, antipyretics, analgesics Management of Lymphoedema and elephantiasis through limb washing and improved hygiene practices, wound care, foot care, wearing of suitable footwear, physiotherapy and exercise, and the application of antibacterial creams and anti fungal creams		Management of Hydrocele through surgery Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC)	Counseling Occupational and physiotherapy Tertiary prevention

Age Cohort: 60+ years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Community awareness and education of families and communities on Lymphatic Filariasis to promote positive attitudes towards people with disabilities	Primary prevention through - Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC) - Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC) Vector control against the mosquito using Indoor Residual Spraying (IRS) and use of Insecticide Treated Nets (ITN) Primary prevention through Improvement in community Water Sanitation and Hygiene (WASH) Vector control against the mosquito using Indoor Residual Spraying (IRS) and use of Insecticide Treated Nets (ITN) Primary prevention through Community screening of patients with scrotal swelling. Either the patient himself or a community health worker identifies scrotal swelling and the patient is referred or reports to a level II facility Management of Acute dermatolymphangioadenitis with antibiotics, antipyretics, analgesics Management of Lymphoedema and elephantiasis through limb washing and improved hygiene practices, wound care, foot care, wearing of suitable footwear, physiotherapy and exercise, and the application of antibacterial creams and antifungal creams		Tertiary prevention Counseling - Occupational and physiotherapy
Primary Care
Community awareness and education Education of families and communities on Lymphatic Filariasis · Promote positive attitudes towards people with disabilities	Primary prevention - Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC) Secondary prevention measures Diagnosis Management of Lymphoedema and elephantiasis through limb washing and improved hygiene practices, wound care, foot care, wearing of suitable footwear, physiotherapy and exercise, and the application of antibacterial creams and anti fungal creams Management of Acute dermatolymphangioadenitis with Antibiotics, antipyretics, analgesics		Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC)	Tertiary prevention Counsellin - Occupational and physiotherapy
Referral Facility: General
	Primary prevention Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC) Secondary prevention measure Diagnosis Management of Lymphoedema and elephantiasis through limb washing and improved hygiene practices, wound care, foot care, wearing of suitable footwear, physiotherapy and exercise, and the application of antibacterial creams and anti fungal creams Management of Acute dermatolymphangioadenitis with Antibiotics, antipyretics, analgesics		Management of Hydrocele through surgery Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC)	Tertiary prevention Counseling - Occupational and physiotherapy
Referral Facility: Specialist
	Primary prevention - Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC) Secondary prevention measure: - Diagnosis - Management of Acute dermatolymphangioadenitis with Antibiotics, antipyretics, analgesics Management of Lymphoedema and elephantiasis through limb washing and improved hygiene practices, wound care, foot care, wearing of suitable footwear, physiotherapy and exercise, and the application of antibacterial creams and anti fungal creams		Management of Hydrocele through surgery Single dose preventive chemotherapy with Albendazole (Alb), Ivermectin (IV) or Diethylcarbamazine (DEC)	Counseling Occupational and physiotherapy Tertiary prevention