Twenty-two years of blackfly control in the onchocerciasis control programme in West Africa.

Twenty-two years after the launch of the Onchocerciasis Control Programme in West Africa (OCP), Jean-Marc Hougard and colleagues critically review the vector-control strategy adopted. They go on to identify the few hydrological basins where transmission of the infection remains difficult to control, to analyse the causes and to propose appropriate corrective measures on a case-by-case basis. Most of these measures, which are mainly based on ivermectin chemotherapy, will continue to be applied after the end of the OCP in 2002, under the control of the countries concerned.