NTD Intelligence

Onchocerciasis (river blindness)

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
1,200,000
GBD
Pathogen
Helminth
Post-infectious
Chronic disease
Persistent symptoms
n/a
infected in high-transmission foci

Post-infectious syndrome & persistent symptoms

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

Documented post-infectious syndrome
Onchocercal skin/eye disease; onchocerciasis-associated epilepsy
not quantified
persistent symptoms — of infected in high-transmission foci
Summary
Chronic dermatitis and vision loss are near-universal with heavy infection; epilepsy (incl. nodding syndrome) prevalence is elevated 2-3x in highly endemic villages. Single pooled % not established.
Timeframe
chronic
Evidence strength
moderate
Classification
Chronic disease
Sources: Colebunders 2018; WHO onchocerciasis

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
Simulium vector control (larviciding)Vector controlApprovedBlackfly breeding-site treatmentWHO onchocerciasis

Prevention

AgentTypeStatusMechanism / roleSource
IvermectinAnthelminticApprovedMicrofilaricidal; annual/biannual MDAWHO EML / standard of care
MoxidectinAnthelminticApprovedAlternative microfilaricide (FDA-approved)WHO EML / standard of care

Post-infectious phase

AgentTypeStatusMechanism / roleSource
Skin & eye disease managementSupportiveApprovedChronic dermatitis, vision rehabilitationWHO

Associated drug targets (Open Targets): CALR, IGHE, IL5, ACE, IL10, IL6

Burden: IHME GBD (indicative seed unless refreshed) · Therapeutics: curated WHO EML / SOC + Open Targets pipeline · Post-infectious data: curated peer-reviewed literature · Ontology: MONDO_0017137 · Updated 2026-07-10. Associations, not a diagnostic test.