“…These include the filarial diseases, Wuchereira bancrofti, Dipetalonema perstans, D. streptocerca, and koa Loa, all of which are mosquito-borne, (Hunter, 1966). In this case, there is clear evidence of the dams creating spill-way breeding sites for Simulium damnosum, the black fly vector of the disease (Burton, et al, 1965;Hughes, et al, 1970). Thus "spill-way onchocerciasis" added to an already grave situation of endemic blindness.…”