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Bilharzia Control launched on Unguja Island, Zanzibar

On Saturday October 18th, His Excellency the President of Zanzibar, Amani Abeid Karume and the Minister of Health the Honourable Mwinyihaji Makame launched the campaign “Piga Vita Kichocho” “Kick out Kichocho” or “Kick out Bilharzia”.

The programme, financed in part by the Health Foundation, a UK charity, aims to treat all school aged children in infected areas of Unguja Island over the next three years, and examine the possibilities of vector control by replacing susceptible vector snails with non susceptible snails. The control of bilharzias will be carried out by the Ministry of Public Health under the direction of Ali Foum. The strategy will be that recommended by the World Health Organisation, that is:

  • If over 20% of children in a school are infected then all school aged children will be offered mass treatment annually.

  • If over 50% of children are infected, the whole community will be offered treatment.

The launch ceremony was held at the Kinyasini primary school some 20 km from Stone Town on Unguja Island. The weather was very kind and the heavy rain shower cleared just before the arrival of the honoured guests.

Image: Dr Lorenzo Savioli (WHO) and His Excellency the President of Zanzibar, Amani Abeid Karume
Dr. Lorenzo Savioli (WHO) and His Excellency the President of Zanzibar, Amani Abeid Karume

At the launch there were children who danced and others who read out descriptive poems to rally the children against bilharzia. Dr. David Rollinson from the Natural History Museum pledged support for the programme from the UK Health Foundation, and from their other partner, SCI. Dr. Uledi Kisumku, acting principal secretary welcomed the launch, and then President Karume addressed the thousands of children and adults present for the ceremony. President Karume welcomed the visitors, including Dr. Ursuline Nyandindi from the mainland Ministry of Health, three from SCI (Dr. Alan Fenwick, Dr. Albis Gabrielli and Dr. Lynsey Blair), Dr. Lorenzo Savioli from WHO, Geneva, and Dr. Allessandra Carozzi de Carneri, the President of the Ivo De Carneri Foundation which supports the Public Health Laboratories on Pemba Island. Others present included the High Commissioner to Zanzibar from India and the representative from UNICEF.

Image: Dr Ursuline Nyandindi from the mainland Ministry of Health, Dr Lynsey Blair and Dr Albis Gabrielli from the SCI
Dr Ursuline Nyandindi from the mainland Ministry of Health, Dr Lynsey Blair and Dr Albis Gabrielli from the SCI

The President toured a demonstration which showed the host snails, the methods of diagnosis and treatment, and included some patients with their bloody urine ready for examination. The President showed great interest in the demonstration and invited the guests from overseas with the Minister of Health back to State House. The President was so pleased with this initiative that he accepted an invitation to officiate at the launch on Pemba Island on January 6th 2004.

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