NTD Intelligence

Lymphatic filariasis

Neglected tropical disease intelligence: burden, staged therapeutics with published-evidence filter, and documented post-infectious syndrome with literature persistence rates.

Deaths / year
0
GBD (indicative unless refreshed)
DALYs / year
1,600,000
GBD
Pathogen
Helminth
Post-infectious
Chronic disease
Persistent symptoms
n/a
infected

Post-infectious syndrome & persistent symptoms

Whether a post-acute infection syndrome is documented and the literature proportion with persistent symptoms.

Documented post-infectious syndrome
Chronic lymphoedema / hydrocele
not quantified
persistent symptoms — of infected
Summary
A substantial subset of infected progress to overt chronic disease (lymphoedema/elephantiasis, hydrocele); ~36 million with chronic manifestations globally. Proportion varies widely by setting.
Timeframe
chronic morbidity
Evidence strength
moderate
Classification
Chronic disease
Sources: WHO LF fact sheet

Therapeutic agents by stage

Vector control, prevention, acute treatment, and post-infectious care. Only agents with published evidence are shown by default.

Vector & transmission control

AgentTypeStatusMechanism / roleSource
Mosquito vector controlVector controlApprovedReduce Culex / Anopheles / Aedes transmissionWHO LF

Prevention

AgentTypeStatusMechanism / roleSource
Ivermectin + albendazoleAnthelmintic combinationApprovedMass drug administration (W. bancrofti, Brugia)WHO EML / standard of care
Diethylcarbamazine (DEC)AnthelminticApprovedAlternative MDA (Loa loa–free areas)WHO EML / standard of care

Acute phase

AgentTypeStatusMechanism / roleSource
Doxycycline (anti-Wolbachia)AntibioticApprovedTargets endosymbiont in filarial wormsWHO EML / standard of care

Post-infectious phase

AgentTypeStatusMechanism / roleSource
Lymphoedema management (hygiene, compression)RehabilitationApprovedChronic elephantiasis / hydrocele careWHO LF morbidity management

Associated drug targets (Open Targets): MMP8, MMP1, MMP7, MMP13, ITGB2, CARD14

Burden: IHME GBD (indicative seed unless refreshed) · Therapeutics: curated WHO EML / SOC + Open Targets pipeline · Post-infectious data: curated peer-reviewed literature · Ontology: MONDO_0016075 · Updated 2026-07-10. Associations, not a diagnostic test.