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To eliminate lymphatic filariasis by means of mass drug administration, it is essential to have reliable data on the disease distribution and prevalence in targeted areas. In Matara district, Sri Lanka, self-administered questionnaires were mailed to local leaders questioning the presence and the numbers of elephantiasis and hydrocele cases. The information provided by them revealed that elephantiasis was clearly aggregated in the southern part of the district along the coast, while hydrocele was distributed rather evenly in the whole district, including Deniyaya region where no endemic filariasis had been known. To confirm active transmission of filariasis in Deniyaya, Wuchereria bancrofti antigen and filaria-specific urinary IgG4 antibody were measured with subjects. The positive rates for antigen and antibody were 0. The titer analysis of IgG4 according to age revealed that the youngest IgG4 positive was 3 years old, and that in 10 years old or less, there were 16 positives out of children examined 2.
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Leishmaniasis is a neglected tropical disease transmitted by Phlebotomus spp. Transmission patterns are different in Southern and Northern Sri Lanka. Total of individuals from four District Secretariat divisions DSDs were screened by house to house surveys using an interviewer administered questionnaire. Spatial mapping provided evidence for significant case clustering, which tended to be more prominent with proximity to forest areas.