To achieve the elimination of onchocerciasis transmission in all African countries will entail enormous challenges, as has been highlighted by the active discussion around onchocerciasis intervention strategies and evaluation procedures in this journal.Serological thresholds for onchocerciasis elimination, adapted for the African setting, need to be established. The Onchocerciasis Technical Advisory Subgroup of the World Health Organization is currently developing improved guidelines to allow country elimination committees to make evidence-based decisions. Importantly, onchocerciasis-related morbidity should not be forgotten when debating elimination prospects. A morbidity management and disease prevention (MMDP) strategy similar to that for lymphatic filariasis will need to be developed. This will require collaboration between the onchocerciasis elimination program, the community and other partners including primary health and mental health programs.In order to reach the goal of onchocerciasis elimination in most African countries by 2025, we should prioritize community participation and advocate for tailored interventions which are scientifically proven to be effective, but currently considered to be too expensive.

中文翻译：

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到2025年消除非洲盘尾丝虫病：一项宏伟的目标需要雄心勃勃的干预措施。

正如本期刊中围绕盘尾丝虫病干预策略和评估程序的积极讨论所强调的那样，要在所有非洲国家中消除盘尾丝虫病传播将面临巨大挑战。已确立的。世界卫生组织盘尾丝虫病技术咨询小组目前正在制定改进的指南，以使国家消灭委员会能够做出循证决策。重要的是，在讨论消除前景时，不应忘记与盘尾丝虫病相关的发病率。需要开发与淋巴丝虫病相似的发病率管理和疾病预防（MMDP）策略。