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Yaws Eradication
programme
Mrs. D. Madhurima
Clinical Instructor
HMCON
Introduction
• Yaws is a chronic disfiguring and debilitating
childhood infectious disease.
• Yaws affects skin, bone and cartilage.
• Humans are the only reservoir, and transmission
is from person to person.
• Yaws was one of the first diseases targeted for
eradication in the 1950s.
• WHO renewed global efforts to eradicate yaws in
2012.
About the Disease
• A group of chronic bacterial infections commonly
known as the endemic treponematoses
• Causative organism :Treponema Pallidum
subspecies pertenue
• Affects children below 15 years in an endemic areas
(hilly areas)
• Spreads Person – person contact
Signs & Symptoms
• Painless ulcer with
scab
• Papillomas
• Palmar/plantar
hyperkeratosis
(thickening).
Treatment
• Single intramuscular
injection of
Benzathine Penicillin
is curative.
• Adults is 1.2 million
units and for children
600 000 units.
Complications
• Destruction of the
skin and bones.
• Deformities of the
legs, nose, palate,
and upper jaw.
Yaws Eradication Programme
Launched in 1996-97
Possible features for eradication
• Man is the only reservoir of infection
• Direct contact with secretions of skin lesions is the
main mode of transmission; no vector is involved
• “magic bullet” is available for intervention i.e., a
single injection of long-acting benzathine benzyl
penicillin
• Yaws infection was localized to small pockets within
the country.
Objectives
• Cessation of transmission of yaws in the country
(defined as nil reporting of new yaws cases)
• Eradication of yaws defined as absence of new
cases for a continuous period of three years
Strategy
• Manpower development
• Detection of cases
• Treatment of cases and contacts
• IEC involving multi-sectors approach
Post Elimination Strategies
• Sero-survey among children to assess cessation
of transmission of infection for 3-5 years
• Rumour reporting
• Investigation and cash incentive scheme to
encourage voluntary reporting of the cases by
the community.
Journey towards the end
• 25th July, 2014 - Yaws eradication status for
India.
• 4–17th October, 2015 - WHO sent an
international Verification team (IVT) of experts
for assessment of yaws free status of India
during
• 5th May, 2016 - WHO Director General declared
India free of Yaws at Geneva
• 14 July, 2016 Declaration of yaws Free India
“YAWS DISEASE-END OF SCOURGE IN INDIA”.
Yaws eradication programme

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Yaws eradication programme

  • 1. Yaws Eradication programme Mrs. D. Madhurima Clinical Instructor HMCON
  • 2. Introduction • Yaws is a chronic disfiguring and debilitating childhood infectious disease. • Yaws affects skin, bone and cartilage. • Humans are the only reservoir, and transmission is from person to person. • Yaws was one of the first diseases targeted for eradication in the 1950s. • WHO renewed global efforts to eradicate yaws in 2012.
  • 3. About the Disease • A group of chronic bacterial infections commonly known as the endemic treponematoses • Causative organism :Treponema Pallidum subspecies pertenue • Affects children below 15 years in an endemic areas (hilly areas) • Spreads Person – person contact
  • 4. Signs & Symptoms • Painless ulcer with scab • Papillomas • Palmar/plantar hyperkeratosis (thickening).
  • 5. Treatment • Single intramuscular injection of Benzathine Penicillin is curative. • Adults is 1.2 million units and for children 600 000 units. Complications • Destruction of the skin and bones. • Deformities of the legs, nose, palate, and upper jaw.
  • 6. Yaws Eradication Programme Launched in 1996-97 Possible features for eradication • Man is the only reservoir of infection • Direct contact with secretions of skin lesions is the main mode of transmission; no vector is involved • “magic bullet” is available for intervention i.e., a single injection of long-acting benzathine benzyl penicillin • Yaws infection was localized to small pockets within the country.
  • 7. Objectives • Cessation of transmission of yaws in the country (defined as nil reporting of new yaws cases) • Eradication of yaws defined as absence of new cases for a continuous period of three years
  • 8. Strategy • Manpower development • Detection of cases • Treatment of cases and contacts • IEC involving multi-sectors approach
  • 9. Post Elimination Strategies • Sero-survey among children to assess cessation of transmission of infection for 3-5 years • Rumour reporting • Investigation and cash incentive scheme to encourage voluntary reporting of the cases by the community.
  • 10. Journey towards the end • 25th July, 2014 - Yaws eradication status for India. • 4–17th October, 2015 - WHO sent an international Verification team (IVT) of experts for assessment of yaws free status of India during • 5th May, 2016 - WHO Director General declared India free of Yaws at Geneva • 14 July, 2016 Declaration of yaws Free India “YAWS DISEASE-END OF SCOURGE IN INDIA”.