Yaws in the Solomon Islands.

Yaws is a chronic, relapsing, non-venereally transmitted disease caused by Treponema pertenue. As a result of the WHO mass treatment campaign of the late 1950s, the prevalence in the Solomon Islands fell dramatically. Here the disease was thought to have been eradicated until an outbreak occurred in 1981. In 1984 a mass treatment survey following modified WHO guidelines was carried out. Subsequent to this campaign, yaws recurred and in 1987 a further treatment survey was required. Two observations were made as a result of our recent experience in controlling yaws in the Solomon Islands. (1) The disease appears to be attenuated. (2) WHO control policy may now be an inappropriate method for dealing with yaws in the Solomon Islands and should be replaced by a method which is integrated into the existing primary health care (PHC) structure.