A call to strengthen the global strategy against schistosomiasis and soil-transmitted helminthiasis: the time is now.
نویسندگان
چکیده
In 2001, the World Health Assembly (WHA) passed the landmark WHA 54.19 resolution for global scale-up of mass administration of anthelmintic drugs for morbidity control of schistosomiasis and soil-transmitted helminthiasis, which affect more than 1·5 billion of the world's poorest people. Since then, more than a decade of research and experience has yielded crucial knowledge on the control and elimination of these helminthiases. However, the global strategy has remained largely unchanged since the original 2001 WHA resolution and associated WHO guidelines on preventive chemotherapy. In this Personal View, we highlight recent advances that, taken together, support a call to revise the global strategy and guidelines for preventive chemotherapy and complementary interventions against schistosomiasis and soil-transmitted helminthiasis. These advances include the development of guidance that is specific to goals of morbidity control and elimination of transmission. We quantify the result of forgoing this opportunity by computing the yearly disease burden, mortality, and lost economic productivity associated with maintaining the status quo. Without change, we estimate that the population of sub-Saharan Africa will probably lose 2·3 million disability-adjusted life-years and US$3·5 billion of economic productivity every year, which is comparable to recent acute epidemics, including the 2014 Ebola and 2015 Zika epidemics. We propose that the time is now to strengthen the global strategy to address the substantial disease burden of schistosomiasis and soil-transmitted helminthiasis.
منابع مشابه
Prevention and control of schistosomiasis and soil-transmitted helminthiasis
The burden of disease associated with helminth infections (schistosomiasis and soil-transmitted helminth (STH) infections) is enormous, with at least 2 billion people affected worldwide. This is being increasingly recognized as a significant public health problem, particularly in developing countries, where poverty, poor nutrition, inadequate sanitation, lack of clean drinking-water and minimal...
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BACKGROUND To achieve a world free of schistosomiasis, the objective is to scale up control and elimination efforts in all endemic countries. Where interruption of transmission is considered feasible, countries are encouraged to implement a comprehensive intervention package, including preventive chemotherapy, information, education and communication (IEC), water, sanitation and hygiene (WASH),...
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This report contains the recommendations of a WHO Expert Committee convened to consider the prevention and control of schistosomiasis and soil-transmitted helminth infections. Although these infections remain major public health concerns in many parts of the world, particularly in the poorest developing countries, cost-effective solutions are both available and deliverable. The report reviews t...
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ورودعنوان ژورنال:
- The Lancet. Infectious diseases
دوره 17 2 شماره
صفحات -
تاریخ انتشار 2017