RESUMO
Human onchocerciasis is a debilitating disease caused by the filarial parasite Onchocerca volvulus (Leukart). The parasite is transmitted by dipterous insects of the family Simuliidae. ln West Africa, transmission is by members of lhe Simulium damnosum (Theobald) species complex. The manifestations of the disease are mainly dermal, lymphatic and ocular, the most severe of which is blindness hence the common name 'river blindness'. The disease is found in parts of Latin America, the Yemen and Sub-Sahara Africa. lt affects some 17.7 million people world-wide with 500,000 severely visually disabled and some 27O,00O blind. ln West Af rica, which is the most affected area, there are over 5 million infected with onchocerciasis and about 148,000 blind. ln view of this, the Onchocerciasis Control Programme in West Africa (OCP), one of the biggest vector control operations covering parts of 11 countries was started in 1975 by the World Health Organization to control onchocerciasis as a disease of public health and socio-economic importance. The initial strategy of the OCP was the application of insecticides to the breeding sites of the insect vectors. ln the OCP, temephos an organophosphate insecticide (OP) was the only chemical used for the initial five years due to its selective mode of action. Resistance to temephos first appeared in 1980 in a population of S. soubrense/S.sanctipauli on the Bandama river in Southern Côte d'lvoire. Later, similar resistant populations of the same species were identified in other river basins in the C6te d'lvoire. ln 1981 Chlorphoxim, also an OP, was used as a replacement for temephos in areas where resistance to temephos had been detected but a similar pattern of resistance was soon detected against chlorphoxim Careful monitoring of resistance to temephos has shown that it has spread to all river basins and different species of the S. damnosum complex at one time or another within the OCP area. Resistance to insecticides demands that large quantities and more novel and toxic chemicals have to be used in the fight against insects and other arthropod pests. This has important economic, operational and environmental demands. ln the West African vector control programme mentioned above, a rotation of 6 insecticides is used to manage insecticide resistance. This strategy places a major constraint on the operations of the Programme (OCP) due to the logistic need of stocking insecticides in the field