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The control of neglected tropical diseases represents a major challenge to those providing health-
care services in the endemic countries. The purpose of this country profile is to provide public health
professionals with the most recently available epidemiological information on diseases for which a
strategy and tools to implement large-scale preventive chemotherapy exist.
This summary outlines the burden of targeted diseases and program implementation outcomes in
Côte d’Ivoire.
Côte d’Ivoire
BASIC COUNTRY DATA
Total population 21,570,746
Population 1–4 years (Pre-SAC) 2,554,315
Population 5–14 years (SAC) 5,500,212
Population female 15–49 years 5,055,087
Population requiring preventivechemotherapy (PC)Lymphatic filariasis (LF) * 14,000,000
Schistosomiasis (SCH) * 21,570,746
Soil-transmitted helminthiasis (STH)
- Pre-SAC 2,554,315
- SAC 5,500,212
Onchocerciasis (Oncho) * 2,039,000
Trachoma * 1,754,651
Development status1 Non LDC
Income status2 LIC
School enrolment dataGross enrolment rate
Girls enrolment ratio (gross)
AFRICAN REGION
The boundaries and names shown and the designations used on this map
do not imply the expression of any opinion whatsoever on the part of the
World Health Organization concerning the legal status of any country,
territory, city or area or of its authorities, or concerning the delimitation
of its frontiers or boundaries. Dotted lines on maps represent approximate
border lines for which there may not yet be full agreement.
© WHO 2010. All rights reserved* Provisional estimates, to be refined
SITUATION ANALYSIS OF PREVENTIVE CHEMOTHERAPY DISEASES
PCT disease
Lymphatic filariasis
Schistosomiasis
Soil-transmitted
helminthiasis
Onchocerciasis
Trachoma
Loa-loa
Endemicitystatus(endemic/non-endemic)
Endemic
Endemic
Endemic
Endemic
Endemic
Non-endemic
Diseasedistribution(Nationwide/partial)
Partial
Nationwide
Partial
Partial
Mapping status(Complete/inprogress/notstarted)
In progress
In progress
In progress
Complete
Implementationstatus(Complete/in-progress/not started)
In progress
In progress
In progress
Sources: Population data - United Nations, Population Division, The World Population Prospects - the 2008 revision,
New York, 2009; Population requiring PC for STH - STH: estimates of the number of children needing preventive
chemotherapy and number treated, 2009. WER, N°25, 2011, 86:257–268. Population requiring PC for LF - PELF;
Population requiring PC for SCH - estimates based on L.Chitsulo et al. / Acta Tropica 77(2000)41-51; Population
requiring PC for Oncho - APOC; Population requiring PC for Trachoma - GET2020; School enrolment data - UNESCO
Institute of Statistics, 2000 Assessment.
1 United Nations classification; 2 World Bank classification.
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Maps of infection/disease endemicity
Ghana
Guinea
Liberia
MaliBurkina Faso
The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. ' WHO 2008. All rights reserved
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Endemicity of LFNon-endemic
Endemic
Uncertain
Lymphatic filariasis
0 90 180 270 36045
Kilometers
Ghana
Guinea
Liberia
MaliBurkina Faso
The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. ' WHO 2008. All rights reserved
4
Endemicity of OnchoNon-endemic
Endemic
Onchocerciasis
0 90 180 270 36045
Kilometers
Ghana
Guinea
Liberia
MaliBurkina Faso
The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. ' WHO 2008. All rights reserved
4
Prevalence of SCH_hNo data
Less than 10%
>=10% and <50%
50% and above
Schistosomiasis, S. haematobium
0 90 180 270 36045
Kilometers
Ghana
Guinea
Liberia
MaliBurkina Faso
The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. ' WHO 2008. All rights reserved
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Prevalence of SCH_mNo data
Less than 10%
>=10% and <50%
50% and above
Schistosomiasis, S. mansoni
0 90 180 270 36045
Kilometers
Ghana
Guinea
Liberia
MaliBurkina Faso
The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. ' WHO 2008. All rights reserved
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Prevalence of STHNo data
Less than 20%
>=20% and <50%
50% and above
Soil-transmitted helminthiasis
0 90 180 270 36045
Kilometers
Ghana
Guinea
Liberia
MaliBurkina Faso
The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. ' WHO 2010. All rights reserved
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TFUnknown
Active trachoma (TF, 1-9 years old)
0 90 180 270 36045
Kilometers
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Maps of preventive chemotherapy strategy required
MDA1 (IVM+ALB), MDA2 (DEC+ALB), MDA3 (IVM), T1 (ALB or MBD + PZQ), T2 (PZQ), T3 (ALB or MBD)
Ghana
Guinea
Liberia
MaliBurkina Faso
The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. ' WHO 2008. All rights reserved
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ROUND 1No implementation
MDA1
MDA3
T3
PC strategy required - ROUND 1
0 90 180 270 36045
Kilometers
Ghana
Guinea
Liberia
MaliBurkina Faso
The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. ' WHO 2008. All rights reserved
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ROUND 2No impl./No data
T1
T2
T2 once in two years
T3
PC strategy required - ROUND 2
0 90 180 270 36045
Kilometers
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Preventive chemotherapy implementation
PREVENTIVE CHEMOTHERAPY IMPLEMENTATION
MDA1 (IVM + ALB)Population targeted
Population treated
Geographical coverage
Programme coverage
MDA2 (DEC + ALB)Population targeted
Population treated
Geographical coverage
Programme coverage
MDA3 (IVM)Population targeted
Population treated
Geographical coverage
Programme coverage
T1 (ALB or MBD + PZQ)Population targeted
Population treated
Geographical coverage
Programme coverage
T2 (PZQ)Population targeted
Population treated
Geographical coverage
Programme coverage
T3 (ALB or MBD)Population targeted
Population treated
Geographical coverage
Programme coverage
A (AZI)Population targeted
Population treated
Geographical coverage
Programme coverage
T1 (ALB or MBD + PZQ)Population targeted
Population treated
Geographical coverage
Programme coverage
T2 (PZQ)Population targeted
Population treated
Geographical coverage
Programme coverage
T3 (ALB or MBD)Population targeted
Population treated
Geographical coverage
Programme coverage
2009
1,159,593
914,720
9.4%
78.9%
PreSAC/SAC
10,143,524
SAC
12,722
2008
2,039,000
404,397
27.3%
19.8%
PreSAC/SAC
3,377,397
2007
SAC
374,923
2006 2010
7,808,346
2,458,436
40.6%
31.5%
SAC
2,305,813
RO
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D 1
RO
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D 2
Geographical coverage - proportion (%) of endemic districts covered with preventive chemotherapy;Programme coverage - proportion (%) of individuals who were treated as per the programme target.
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National disease-specific coverage
Pre-SAC ** SAC
LYMPHATIC FILARIASIS SCHISTOSOMIASIS *
SOIL-TRANSMITTED HELMINTHIASIS
ONCHOCERCIASIS ***
0
1
2
3
4
2005 2006 2007 2008 2009 2010
Mill
ions
0%
20%
40%
60%
80%
100%
Requiring PCTreatedNational coverage
0
1
2
3
4
5
6
7
2005 2006 2007 2008 2009 2010
0%
20%
40%
60%
80%
100%
Requiring PCTreatedNational coverage
National disease-specific coverage - proportion (%) of individuals in the population requiring preventivechemotherapy for the specific disease (see Basic country data on page 1) that have been treated.
0.0
0.5
1.0
1.5
2.0
2.5
2008
Mill
ions
0%
5%
10%
15%
20%
25%
Requiring PCTreatedNational coverage
TRACHOMA
No data available
** Number of individuals received at least one round of annual treatment.
0
4
8
12
16
2009 2010
Mill
ions
0%
5%
10%
15%
20%
Requiring PCTreatedNational coverage
0
2
4
6
2009
Mill
ions
0.0%
0.1%
0.1%
0.2%
0.2%
0.3%
Requiring PCTreatedNational coverage
* SAC
*** Number of people treated via LF programme (MDA1) is not included in this chart.
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Monitoring decline of disease endemicity(in sentinel sites or periodic surveys)
LYMPHATIC FILARIASIS
Cumulative number of SS with base line mf>1% identified
(of total)
Percent of the SS (with a baseline of >1%) which have
Mf prev <1% in year
No. of IUs where MDA discontinued after meeting
epidemiological criteria
Years ->
Data source:
SOIL-TRANSMITTED HELMINTHIASIS
Years ->
STH prevalence in pre-SAC (range)
STH prevalence in SAC (range)
Data source:
SCHISTOSOMIASIS
Years ->
S. haematobium prevalence (range)
S. mansoni prevalence (range)
Data source:
ONCHOCERCIASIS
Years ->
Number of endemic communities
Number of endemic communities with baseline >1%
Number of endemic communities discontinued after
meeting epidemiological criteria
Data source:
For more detailed information, please contact:
Preventive Chemotherapy and Transmission Control, Department of Control of Neglected Tropical DiseasesWorld Health Organization, 20, avenue Appia, 1211 Geneva 27, Switzerland
We would also like to be informed as soon as possible if we have made any errors in detailing your activities orif you have any other comments. Thank you for your collaboration.
Our contact e-mail is [email protected]
© World Health Organization 2010. All rights reserved. This document is not a formal publication of WHOand does not necessarily represent the decisions or the stated policy of the Organization. The presentation ofmaps contained herein does not imply the expression of any opinion whatwoever on the part of WHOconcerning the legal status of any country, territory, city or area or of its authorities, or concerning thedelineation of its frontiers or boundaries.
TRACHOMA
Data source:
Years ->
TF prevalence in 1-9 years old
TT males & females all ages
Districts achieving Ultimate Intervention Goals, %
SAFE at least 80% of targeted population