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Pacifc Programme to Eliminate Lymphatic Filariasis
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Cook Islands
Cook Island Map

Eke' Eke


General Information

Capital city
Number of islands
Land area
Language
Ethnicity
GNP per capita
Economy

Avarua
15
237 sq km
Cook Islands Maori and English
Maori
*New Zealand Territory
Tourism, Offshore banking services

Total population by census (1996)
Population estimated (2000)
Male/Female
Population growth rate
Population density
Life expectancy at birth

19,103
18,700
103/100
-0.5%
79 sq km
69.9

Mortality: Disease of the circulatory system, malignant neoplasms, diseases of the respiratory system.


POPULATION

WEATHER



History of Filariasis Prevalence

Year

Area of study

Symptoms

Prevalence

1925 Rarotonga, Aituk Elephantiasis 2, 5.6%
1926 Atiu, Mauke,Mitiaro Elephantiasis 2.4, 4.1, 0%
1957 Rarotonga Aitutaki Elephantiasis 4.3, 3.7%
1959 Rarotonga Aitutaki Elephantiasis 2.9%
1959 Atoll Islands Elephantiasis 0%
1965 Pukapuka Elephantiasis 3.8%
MDAs started on the Island of Aitutaki in 1968 reducing mf rates from more than 30% to 0.8%.


PacELF Activities carried out to date:
Blood Survey PACELF Activities in Cook Island
MDA (DEC 6mg/kg + Albendazole 400mg)
Health education
Mass media campaign
Vector control
Surveillance of filariasis and helminths
Workshops
Helminth control programme


Filaria Type Wuchereria bancrofti. Diurnally sub periodic
Mosquito vectors Aedes polynesiensis
Filariasis latest status Endemic
Operational Staff Public Health Nurse, Health Inspector,
Partnership GSK (Albendazole), JICA (DEC&ICT)


Results of blood surveys carried out under PacELF Programme

Date

Test method

Target

Sampling method

No. of examined

No. of Positives

Positive rate(%)

Apr99-Oct99

ICT

Whole area (9 islands)

Convenience

1884

162

8.6

Feb01-May01

ICT

Sentinel Site (4 islands)

Convenience

460

35

7.61

Oct 2002

ICT

Whole area (11 islands)

Random

2025

9

0.44

Oct05-Nov 05
ICT
11 Islands
Convenience
2602
33
1.27
2005
MF

ICT positives in Aitutaki (22)
Rarotonga (2)
Mangaia (4)

Follow up
28
0
0.00


Results of MDAs carried out under PacELF Programme

Year MDA Reported population

Registered
population

% Registered

Treated population

%Treated/
Reported

%Treated/
Registered

Jun-2000

1st

19103

14645

76.66 11928 62.44 81.45
Jun-2001 2nd 18027 14862 82.44 11562 64.14 77.80
Jun-2002 3rd 18037 17676 98.00
Jun-2003 4th 14762 13513 91.54 13048 88.39 96.56
Jun-2004 5th 13905 13179 94.78 12900 92.77 97.88


Contact:

Ms Ngapoko Short, Director of Public Health and Mr. Charlie Ave,
Health Inspector,Vector Control, Ministry Of Health,
P.O. Box 109, Tupapa, Rarotonga, Cook Islands.
Tel (682) 29110 Fax (682) 29100
E-mail: paruru@health.gov.ck

Lymphatic Filariasis • Waqaqa • Big Leg • Filariasis • Aoraki Man Te Mata • Rektel a Rekas • Mumu Tutupa • Mwirara • Filariasis Pwuur • Moko Pata • Kinal • Te Fu'aa • Va'e Fua • Eke'Eke • Mumu Tutupa • fe'fee • Va'e Fua • Legi Biki