Simulating the Effect of Evaluation Unit Size on Eligibility to Stop Mass Drug Administration for Lymphatic Filariasis in Haiti

PLOS Neglected Tropical Diseases

By 
Natalya Kostandova, 
Luccene Desir, 
Abdel Direny, 
Alaine Knipes, 
Jean Frantz Lemoine, 
Carl Renand Fayette, 
Amy Kirby, 
Katherine Gass

Abstract

The Transmission Assessment Survey (TAS) is a decision-making tool to determine when transmission of lymphatic filariasis is presumed to have reached a level low enough that it cannot be sustained even in the absence of mass drug administration. The survey is applied over geographic areas, called evaluation units (EUs); existing World Health Organization guidelines limit EU size to a population of no more than 2 million people.