Community Medicine (PSM) · National Health Programmes (NTEP, NVBDCP, NACP, NIS, RMNCH+A)

Under the National Programme for Elimination of Lymphatic Filariasis (NPELF), the strategy used for mass drug administration (MDA) in endemic districts is:

  • A DEC + Albendazole annually (Triple Drug Therapy with Ivermectin in some areas)
  • B Diethylcarbamazine (DEC) alone annually
  • C Ivermectin alone annually
  • D Albendazole + Ivermectin biannually
Correct answer: A. DEC + Albendazole annually (Triple Drug Therapy with Ivermectin in some areas)

Explanation

India's NPELF MDA strategy uses DEC (6 mg/kg) + Albendazole (400 mg) annually in endemic districts. Following WHO guidance, Triple Drug Therapy (IDA: Ivermectin + DEC + Albendazole) has been introduced in some districts as it accelerates transmission interruption. DEC kills microfilariae and adulticidal effect is partial; Albendazole targets adult worms. Treatment coverage target is ≥65% of eligible population.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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