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Onchocerciasis Elimination Program for the Americas — OEPA – October 2005 - page 7 / 14

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Criteria for Certification of Elimination (wording from WHO Certification Document) 4. 1. Elimination of  Morbidity

Absence of reversible lesions in the anterior segment of the eye (punctate keratitis, microfilariae in the anterior chamber).  A 5-year cumulative incidence rate of less than 1 new case per 1000 is acceptable

It must be remembered that permanent eye lesions, as well as some severe skin or lymphatic lesions, are irreversible.  Such “old morbidity” cannot be eliminated except by death.

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