SOIL TRANSMITTED

HELMINTHIASIS CONTROL
PROGRAM (STHCP)

INTEGRATED HELMINTH
CONTROL PROGRAM (IHCP)

Dr. Cheryl May Camero-Miralles

 Goal Objectives
Vision

•
 Country Burden at a Glance
66.4% 54.0%
Pre-SAC
Overall cumulative prevalence
for six selected provinces.
-Belizario et al., 2004
SAC
Overall cumulative prevalence
for baseline parasitologic
assessment in selected public
elementary schools in Luzon,
Visayas and Mindanao.
-Belizario et al., 2006
30.4% 31.5%
WCBA Pregnant
Overall cumulative
prevalence for baseline Women
prevalence survey of STH
infection in adolescent (Belizario et al., 2011)
females and pregnant
women in selected LGUs in
the Philippines.
-Belizario et al., 2012
 Burden of Soil Transmitted Helminthiasis

30.4% 31.5% 44.8%- 44.8%-

WCBA Pregnant 69.1% 69.1%
(Belizario et al., 2011)
Women Military in Agusan IPs in Agusan del
(Belizario et al., 2011) del Sur Sur
(Belizario et al., 2005) (Belizario et al., 2005)
 • Deworming is one of the key
strategies of the Department of
Health in the prevention and
control of STH infections along
with WASH (Water, Sanitation and
Hygiene)
 Schedules of MDA by Disease and by Target
Population

Source: IHCP Operational and Strategic Framework - AO 2006-0028

Department of Health, Metro Manila Center for

Health Development
Harmonized Schedule and Combined Mass Drug Administration
Schedule (HSCMDA)
SABAYANG GAMUTAN KONTRA BULATE
MDA Schedule as per
DOH DM 2015-0399

January July October April

Community Based School Based

Deworming Deworming

5 to 19 years old
GUIDELINES IN THE
MANAGEMENT OF
ADVERSE EVENTS
FOLLOWING
DEWORMING
(AEFD)
 ADVERSE EVENT or EXPERIENCE (AE)

Any untoward medical occurrence in a

patient or clinical investigation subject
administered a pharmaceutical product
and which does not necessarily have a
causal relationship with this treatment.
 DEFINITION OF TERMS
• Adverse drug reaction (ADR) is a noxious and unintended reaction
which occurs at doses normally used in humans for prophylaxis,
diagnosis or treatment of disease

• Adverse event following deworming (AEFD) is a medical event

that happens after ingestion of deworming drugs. While the drugs
are safe and effective against helminths, adverse reactions may
occur which are usually mild and transient within 8 – 12 hours after
ingestion which is the half life of albendazole

• Mass deworming is the giving of an anthelminthic or deworming

drug to an entire group of people without prior diagnosis of current
infection to get rid of intestinal parasites which include HW, ascaris
and trichuris

GUIDELINES IN THE MANAGEMENT OF ADVERSE EVENTS FOLLOWING DEWORMING

(AEFD)
 General Guidelines
Drugs of Choice
Albendazole 400 mg
Mebendazole 500 mg

• Included in the WHO model list of essential medicines

for single dose treatment of STH
• Cheap making mass treatment affordable and
sustainable
• Excellent safety record
• Adverse reactions (AR) are mild and transient, most
of the time there is no treatment needed.

GUIDELINES IN THE MANAGEMENT OF ADVERSE EVENTS FOLLOWING DEWORMING

(AEFD)
 How does Albendazole or Mebendazole
work
• Interferes with energy producing
processes of worms including
impairment of the glucose for energy
until the worms become immobile and
then die
When should Albendazole or
Mebendazole be taken

• Should be taken on FULL STOMACH

GUIDELINES IN THE MANAGEMENT OF ADVERSE EVENTS FOLLOWING DEWORMING

(AEFD)
 Common adverse effects
Common adverse effects
Local sensitivity or allergy
Mild abdominal pain
Diarrhea
Erratic worm migration
GUIDELINES IN THE MANAGEMENT OF ADVERSE EVENTS FOLLOWING DEWORMING
(AEFD)
How to manage
Give antihistamine
Give antispasmodic
Give oral rehydrating
solution
Pull out the worms from
the nose/mouth
 Recommended Drugs for the management of
Adverse Events Following Deworming (AEFD)

For local hypersensitivity

and allergy: Dose
Diphenhydramine
For oral dosage forms: Syrup
12.5mg/5ml
www.angelfire.com

• Children younger than 6 years of

age: ½ tsp to 1 tsp every 6 – 8 hours
until symptoms subside

• Children 6 to 12 years of age: 1tsp to

2 tsp every 6 – 8 hours until
symptoms subside
GUIDELINES IN THE MANAGEMENT OF ADVERSE EVENTS FOLLOWING DEWORMING
(AEFD)
 Recommended Drugs for the management of
Adverse Events Following Deworming (AEFD)

Dose
For GI spasm:
Dicycloverine GI spasm:
For oral dosage forms:
Syrup 10 mg/5ml

• Children 6 months – 2 years old: ½ tsp to 1

tsp every 6 – 8 hours.
• Children 2 – 12 years old: 1 tsp every 6
– 8 hours
* Dicycloverine: May be taken with or without
food. (May be taken before or after meals.)
www.rightparenting.com

*GI=gastrointestinal
GUIDELINES IN THE MANAGEMENT OF ADVERSE EVENTS FOLLOWING DEWORMING
(AEFD)
 Recommended Drugs for the management of
Adverse Events Following Deworming (AEFD)

Dose
For colicky pain:
Hyoscine Acute attacks of colicky pain:
N-butylbromide For oral dosage forms:
Syrup 5 mg/5ml or Tablet 10mg

• Children ≥ 6 years: I tablet every

6 – 8 hours or 2 tsp every 6 – 8
hours.

shutterstock_125598911.jpg

GUIDELINES IN THE MANAGEMENT OF ADVERSE EVENTS FOLLOWING DEWORMING

(AEFD)
 Recommended Drugs for the management of
Adverse Events Following Deworming (AEFD)

For diarrhea: Reformulated Oral Rehydration Salt Zinc

supplementation

To prevent dehydration: give after • <6 months 10 mg

each loose stool zinc for 14 days
• 50 – 100 ml (¼ to ½ cup) ORS for • >6months 20mg
children under 2 years old zinc for 14 days
• 100 – 200 ml (½ cup to 2 cups)
ORS for children 2 – 10 years old
• For older children and adults: as
much fluid as they want
• Refer to health center if child
develops dehydration

GUIDELINES IN THE MANAGEMENT OF ADVERSE EVENTS FOLLOWING DEWORMING

(AEFD)
 Recommended Drugs for the management of
Adverse Events Following Deworming (AEFD)

Erratic worm migration

Pull out worms if it comes out of the nose or

mouth, dispose of properly (flush in the toilet or
burn/incinerate)
Dispose properly
(flush in the toilet or burn/incinerate)
www.diylife.com

GUIDELINES IN THE MANAGEMENT OF ADVERSE EVENTS FOLLOWING DEWORMING

(AEFD)
 Precautionary measures on
Deworming Program Implementation

• Target clients or caregivers should be adequately

informed of the possible adverse reaction to the
drug & management of case if it occurs
• Adverse reactions should be accurately recorded
and proper authorities (AEFD team) informed
• Health personnel at the community level should be
informed of the on-going deworming activity.
Support drugs should be available at the nearest
health facility

GUIDELINES IN THE MANAGEMENT OF ADVERSE EVENTS FOLLOWING DEWORMING

(AEFD)
 The following individuals are advised
not to take deworming drugs:

• Seriously ill child/individual

• Child/individual with abdominal pain
• Child/individual with diarrhea
• Child/individual who previously suffered
hypersensitivity to the drug

GUIDELINES IN THE MANAGEMENT OF ADVERSE EVENTS FOLLOWING DEWORMING

(AEFD)
 Reporting Adverse Events

When to report AEFD

Any serious adverse event experienced by the client

within 8-10 hours after ingestion of the drug should
be reported immediately to the appropriate authority.
Reporting Form
ACTIVITIES
 Coordination Meeting with Dep-Ed
LGU
June 23, 2022, Health Office October 6, 2023, Maharlika integrated School
THANK YOU!