About PacELF

Pacific Programme for the Elimination of Lymphatic Filariasis

PacELF works within the framework of the WHO Global Programme to Eliminate Lymphatic Filariasis and the WHO Regional Office for the Western Pacific.

PacELF, the first regional filariasis elimination programme, formed in 1999 as a network to coordinate the efforts in the twenty-two island countries and territories that are working to eliminate filariasis in the Pacific. The elimination strategy has two pillars: 1) annual mass drug administration (MDA) using diethylcarbamazine citrate (DEC) with albendazole to stop transmission, and 2) clinical management of infections and support to minimize progression of morbidity and disability in those individuals that are already infected. PacELF countries classified as non endemic in 2000 were Guam, Nauru, Northern Mariana Islands, Pitcairn Island, Solomon Islands, and Tokelau. Of the remaining PacELF 16 endemic countries and territories,some have since achieved filariasis elimination, and others are moving closer to that goal. Progress by country with links to a bibliography of published literature from 1970 to mid 2017 is summarized by following links :

Seven PacELF countries have achieved validation of elimination since the start of the programme: Vanuatu, Republic of the Marshall Islands, Niue, Cook Islands, Tonga, Palau and Wallis & Futuna. The remaining countries (American Samoa, Federated States of Micronesia, Fiji, French Polynesia, Papua New Guinea, Samoa, Tuvalu and New Caledonia) are still conducting surveillance or mass drug administration. Some Pacific countries have now introduced triple drug therapy by adding ivermectin to mass drug administration to accelerate their progress towards elimination.

To assist with documentation and validation of elimination, and to provide a historical record, this project has collected all available published and unpublished documents about filariasis in the Pacific, with a focus on the PacELF period 1999 to present. This searchable archive consists of electronic and hard copy peer-reviewed papers, WHO documents, and programme reports, including the personal collection of Dr Kazuyo Ichimori. Some are freely available, while for some access must be requested. A collection of hard copy documents is housed at James Cook University's Townsville Campus in the JCU WHO Collaborating Centre for Vector-Borne and Neglected Tropical Diseases (WHO-181) and may be accessed by request to PacELF@jcu.edu.au.

The development of this digital library is ongoing. We are very grateful to Dr Ichimori and James Cook University's WHOCC, eResearch Centre, and library for support. This work was supported by a grant from the United States Agency for International Development (USAID) through NTD SC, a program of the Task Force for Global Health, Inc. Its contents are solely the responsibility of the authors and do not necessarily represent the views of the supporting institutions.

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WHO - Division of Pacific Technical Support, What is PacELF ?
JCU WHO Collaborating Centre for Vector-Borne and Neglected Tropical Diseases


The following have contributed to this project:

WHO LogoNagasaki UniversityUS AidNeglected Tropical Diseases Support Centre James Cook University