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2 186 Also it has been reported that use of DEC medicated salt for a period of 9-12 months has been shown to be simple, inexpensive and effective in drastically reducing or eliminating lymphatic filariasis (WHO, 1994)'. Filariasis control is generally given low priority by health planners and therefore affordability of filariasis control is particularly important. Since DEC medicated salt relies on existing community purchasing practice, it requires the least resource input. Though some increase in purchasing cost to the consumer is estimated (US $ 0.8/year/adult), considering the goal of elimination of filariasis, this additional cost may be met either by government or by some voluntary organization. In view of the above findings and considering the life span of the adult microfilaria worm (5-10 years), a DEC medicated salt programme undertaken at a national level for at least 10 years throughout the filaria endemic belt may be able to eliminate the parasite. Future research should concentrate on the extent of social stigma, duration of the disease manifestation and subsequent economic loss to the individual and family, role of community participation and methods for enrolling in filariasis control. # It is generally well tolerated, sdely used in pregnancy and can be incorporated into iodized salt

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7 Murray, C.J.L., Lopez, A.D. & Jamison, D.T. (1994) The global burden of disease in Summary results, sensitivity analysis and future directions. In Global Comparative Assessments in the Health Sector. Disease Burden, Expenditure and Intervention Packages (ed C.J.L. Murray & Ad Lopez) World Health Organization, Geneva, pp Nair, C.P. (1960). Filariasis in centrally administered areas. Part I. Filaria survey of Pondicheny settlement. Indian Journal of Malariologv: 14, National Filaria Control Programme. Annual Reports Directorate of National Malaria Eradication Programme, Ottesen, E.A. (1989). Filariasis now. American Journal of Tropical Medicine and Hygiene: 41,9-17. Pani, S.P., Das, L.K., Balakrishnan, N., Sadanandane, C., Rajavel, A.R., Subramanian, S. & Vanamail, P. (1989). A study on the clinical manifestations of bancroftian filariasis in Pondicherry, South India. Indian Medical Gazette: C23,lll-115. Pani, S.P., Balaluishnan, N., Srividya, A., Bundy, D.A.P. & Grenfell, B.T. (1 991). Clinical epidemiology of bancroftian filariasis: effect of age and gender. Transactions of the Royal Society of Tropical Medicine and Hygiene: 85, Pani, S.P., Yuvaraj, J., Vanamail, P., Dhanda, V., Michael, E., Grenfell, B.T. & Bundy, D.A.P. (1995). Episodic adenolymphangitis and lymphoedema in patients with bancroftian filariasis. Transactions of the Royal Society of Tropical Medicine and Hygiene: 89, Panicker, K.N., Jayasree, M. & Krishnamoorthy, K. (1992). A cost benefit analysis of fish culture strategy towards the control of mansonioides in Shertallai, Kerala state. Indian Journal of Medical Research: 95, Panvisavas, S. & Ithijarukul, B. (1988). Knowledge, belief, attitude and behaviour about filariasis of the people. Faculty of Social Sciences and Humanities, MahidoI University, Thiland. Park, K. (1997). Demography and family Planning,In : Text book of Preventive and Social Medicine.14th Edition,Jabalpar : Banarsides Bhanot Publisherss.PP Raccurt, C.P., Mojon, M. & Hodges, W.H. (1984). Parasitological, serological, and clinical studies of Wuchereria bancrofti in Limbe, Haiti. American Journal of Tropical Medicine and Hygience: 33,

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9 Riji, H.M. (1983). Cultural factors in the epideaniology of filariasis due to bmgia malayi in an endemic community in Malaysis., South East Asian Journal of Tropical Medicine and Public Health. : 14(1), Riji, H.M. (1986). Comparison of knowledge on filariasis and epidemiologic factors between infected and uninfected respondents in a Malay community., South East Asian Journal of Tropical Medicine and Public Health. : 17(3), Rosenstock, I.M. (1966). Why people use health services Milbank Memorial Fund Quarterly, 44, Sabry, M. (1992). Critical analysis of an epidemetrons model for the assessment of bancroftian filariasis endemicity in some areas in egypt. Journal of Tropical Medicine and Hygiene: 95, Sarrna, R.V.S.N., Vallishayee, R.S., Mayurnath, S., Narayanan, P.R., Radhamani, M.P. & Tripathy, S.P. (1987). Prevalence survey of filariasis in two villages of Chingleput district of Tamil Nadu. Indian Journal of Medical Research: 85, Sasa, M. (1974). Methods for estimating the efficiency of detection of microfilariae in various volumes of blood samples. Southeast Asian Journal for Tropical Medicine and Public Health: 5, Schultz, G.W. (1988). A study of Bancrofiian filariasis on the islands of Batan abd Rap& Philippines., South East Asian Journal of Tropical Medicine and Public Health. : 19(2), SchweinfUrth, U. (1983). Filarial diseases in Ceylon: A geographical and historical analysis. Ecol. Dis. :2(4), Senathsien, S. (1991). Risk factors of filariasis, Wucheria bancrofti in Mae-Ramat District, Tak Province. MSc theszs(unpublished), Chulalongkorn University, Thailand. Sharma, S.P., Biswas, H., Das, M. & Dwivedi, S.R. (1983). Present status of the filariasis problem in India. Journal of Communicable Disease: 15, Snedecor, G.W. & Cochran, W.G. (1967). University Press, Arnes, Iowa: pp414. Statistical Methods (The Iowa State Srividya, A., Pani, S.P., Rajagopalan, P.K., Bundy, D.A.P. & Grenfell, B.T. (1991). The dynamics of infection and disease in bancroftian filariasis. Transactions of the Royal Society of Tropical Medicine and Hygiene: 85,255-9.

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