Kapelebyong officials alarmed by rising elephantiasis cases

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Health officials in Kapelebyong district have expressed concern over a significant rise in cases of elephantiasis, a neglected tropical disease that is increasingly impacting both residents’ health and livelihoods.

According to data from the district health office, approximately five out of every 100 people in the district, with an estimated population of 112,500, are affected by the condition. 

“This has greatly affected local development,” said Dr James Eudu, the Kapelebyong district health officer.

“Many affected individuals spend valuable time and resources seeking treatment, rendering them unable to engage in income-generating activities.”

Elephantiasis, caused by filarial parasites transmitted through mosquito bites, is recognised by the World Health Organization (WHO) as a neglected tropical disease.

Dr Eudu explained that it may take between seven to ten years for symptoms to appear after infection.

“The parasites block lymphatic drainage, leading to swelling of limbs, and in males, swelling of the scrotum—a condition known as hydrocele,” he said.

Out of the 646 documented cases in Kapelebyong, 344 men are suffering from hydroceles. While limb swelling affects both men and women, hydrocele remains a major concern among male patients.

Medical professionals note that although hydrocele can stem from various causes, elephantiasis remains the primary factor in this region.

Dr Eudu added that the high incidence of hydrocele in the Teso Sub-region is linked to the persistent presence of filarial parasites.

Personal stories and social impact

One of the patients, 70-year-old Joseph Max Opeitum from Okoboi Parish in Kapelebyong Sub-county, underwent successful surgery for hydrocele at Kapelebyong Health Centre IV.

He spoke of the pain and hardship he experienced prior to the operation.

Local leaders are also alarmed by the broader social repercussions of the disease.

Teddy Kamende Alinyo, secretary for works and technical services and female councillor for Okungur Sub-county, said hydroceles have led to stigma and even domestic violence.

“Some women believe men with hydroceles struggle with sexual performance,” Kamende said.

“As a result, many affected men isolate themselves due to shame.”

Prevention measures urged

To control the spread of elephantiasis, health experts recommend increased usage of insecticide-treated mosquito nets, indoor residual spraying, and consistent public awareness about personal protective measures.

As elephantiasis continues to strain households and hinder productivity, authorities are calling for urgent and sustained public health interventions to disrupt the transmission cycle and restore hope among affected communities.