AbstractObjective To assess the socioeconomic impact of lymphatic filariasis (LF) in Guyana. Methods Observational, cross‐sectional study of 50 persons with chronic LF attending the Filariasis Clinic who were selected as the cases; and 50 persons with chronic skin conditions but no chronic LF, attending the Skin Clinic who were selected
as the controls. The two groups were assessed using semi‐structured interviews. Results Socioeconomic impact was statistically significant, especially with respect to ‘having
to change jobs’ and experiencing major emotional and financial changes (P < 0.05). Fifty‐six per cent of cases reported a major change since their diagnosis, whereas only 32% of controls did. Cases were less likely to be able to dress themselves and walk inside
and outside the house than controls; they were three times more likely to spend money on transportation than controls (OR, 3.04 95% CI 1.11, 8.44). Conclusion Patients with chronic LF
face a considerable burden, which should be addressed as part of the Elimination Programme. One way in which this can be done is to provide free transportation for patients with chronic LF to and from Filariasis Clinics.