Regarding the question of how much disadvantage lymphatic filariasis and onchocerciasis themselves cause the disease worsen the plight of affected people in 2 way: they attack in dividual dimentions of well-being that have fundamental ethical importance as a matter of justice (agency,association,and respect),and they act as corrosive disadvantages in the sense that they produce clusters of coexisting and even mutually reinforcing disadvantages across all 3 dimension.