42 year old Hiju Yusufu is a carpenter in Kisiju village in eastern Mkuranga. Since the age of 25, Yusufu has had Lymphatic Filariasis (LF), a disease mostly associated with images of grotesquely swollen arms and legs - hence its more common name, elephantiasis. Yusufu is being treated as part of a World Health Organisation (WHO) mass drug administration (MDA) programme based on a two-drug, once a year treatment of at-risk communities. Since the MDA programme started in his village the fevers have stopped, the swellings on his legs have declined dramatically and he gets fewer infections. "The drugs have helped me so much - inside and out. My confidence has grown and I can support my family. I now feel part of my community."