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Newly available diagnostic techniques like sensitive antigen and antibody assays, Doppler ultrasonography and lymphoscintigraphy have helped to understand the subclinical pathology caused by this infection, which was hitherto generally believed to be irreversible. Recent studies indicate that drugs used in the mass drug administration (MDA) programme under GPELF are capable of reversing the sub-clinical lymphatic damage in children and provide benefits other than interruption of transmission. Albendazole and ivermectin used in MDA are effective against soil-transmitted helminthic infections common in children in LF endemic areas. Thus MDA had other \u2018beyond LF\u2019 benefits in treated children including increased appetite, weight gain, greater learning ability and concentration, better school attendance and prevention of anaemia. MDA should no longer be viewed as a measure for interrupting transmission alone. Recent findings of reversibility of early lymphatic pathology in treated children indicate that both MDA and \u2018foot-hygiene\u2019 measures are effective strategies in preventing and managing morbidity. Programme managers should effectively utilize this information to strengthen their advocacy efforts to achieve high and sustainable coverage in MDA.<\/jats:p>","DOI":"10.1017\/s003118201100117x","type":"journal-article","created":{"date-parts":[[2011,8,3]],"date-time":"2011-08-03T11:59:10Z","timestamp":1312372750000},"page":"1559-1568","source":"Crossref","is-referenced-by-count":28,"title":["Lymphatic filariasis in children: Clinical features, infection burdens and future prospects for elimination"],"prefix":"10.1017","volume":"138","author":[{"given":"RANGANATHA KRISHNA","family":"SHENOY","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MOSES 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