United Front Against Riverblindness (UFAR) is a Non-Governmental Development Organization (NGDO) that provides technical, managerial and financial support for the elimination of riverblindness, or onchocerciasis, in the Kasongo region of Maniema province in the east-southern region of the Democratic Republic of the Congo (DRC).
UFAR and its partners use the community-directed treatment with ivermectin (CDTI) approach recommended by the African Programme for Onchocerciasis Control (APOC), a branch of the World Health Organization (WHO). Each year UFAR ensures the treatment of about one million people in what is referred to as the CDTI Kasongo project to prevent the further transmission of the parasitic disease onchocerciasis to uninfected persons and to halt the progression of the disease in those already infected.
History
United Front Against Riverblindness was formed in 2004 and recognized as a 501(c)(3) nonprofit organization by the U.S. Internal Revenue Service. The organization was founded by and is currently led by Executive Director Dr. Daniel Shungu. UFAR has a small headquarters office in Lawrenceville, NJ and operational offices in Kinshasa and Kasongo, DRC. The CDTI Kasongo includes eight health zones.
In 2007 treatment was initiated in the health zone of Kasongo, in 2008 it was initiated in the health zones of Kunda, Lusangi, Salamabila and Samba, and in 2009 it was initiated in the remaining health zones of Kabambare, Kampene and Pangi.
Since the community-wide mass treatment of all eligible people must be repeated once a year for 10–15 years, approximately three million tablets of Mectizan (ivermectin) were distributed in 2009 in all eight health zones by some 4,540 trained community workers.
Governance
UFAR is governed by a volunteer board of directors that oversees the organization's activities and promotes its objectives and goals. The board is chaired by Jeffrey Yuan, PhD. The board includes members from medicine, academia and industry and includes: Daniel L. Shungu, PhD (Clinical Microbiology & Infectious Diseases), Roger Youmans, MD (Associate Executive Director, Surgeon & General Practitioner, Former Medical Missionary to DRC and Ghana, Author), Dr. Dennis Bowers (CEO of Life Force Technologies, Inc.), Mrs. Jean Jacobsohn (UFAR Treasurer), Dr. John McGlaughlin (Mathematics Instructor - Philadelphia School District), Dr. Elsie McKee (Church History, Historical Theology - Princeton Theological Seminary), Mr. Charles C. Phillips (Past-Chair, Information Technology, Resource Development, Isles, Inc.), Dr. Robin Rusciano (Political Science, Current Social World Issues - Rider University), Robert J. Vosatka, MD, Ph.D (Board Chair Emeritus, Physician, Teacher, Scientist), Jeffrey Yuan, PhD (Board Chair, Pharmaceutical Regulatory Affairs Scientist, Merck & Co., Inc.)
An advisory council includes private-sector professionals who lend their expertise in support of the United Front Against Riverblindness organization. Executive Director Dr. Daniel Shungu manages the day-to-day operations and works with the field staff as well as APOC, WHO, the DRC Ministry of Health and other local and international public and private organizations that share in the mission of eradicating onchocerciasis.
Health program
Disease eradication measures
Onchocerciasis is a neglected tropical disease. The primary strategy to control onchocerciasis is to interrupt the life cycle of the parasite. Ivermectin, known by its trade name Mectizan, is the only drug available for treating onchocerciasis without severe side effects. The drug rapidly kills microfilariae (immature worms) but not the adult worms. A single oral dose of ivermectin, taken annually for the 10-15 year life span of the adult worms, protects individuals from further progression of onchocerciasis. Merck & Co. manufactures the drug and provides it free worldwide for the treatment of onchocerciasis.
Onchocerciasis is a parasitic disease transmitted through the bite of the small black fly that breeds along the banks of fast-flowing rivers. People acquire the disease during their regular trips to infested rivers for their routine daily activities such as farming, hunting, fishing and fetching water. Larvae, transmitted to humans through the bite of the small black fly, mature under the skin into adult worms forming visible nodules throughout the body. Pairs of adult worms produce millions of microfilariae during their entire 10-15 year life span. The microfilariae initially cause a rash, severe itching, thickening and depigmentation of the skin, followed by visual impairment and eventually blindness.