Towards effective prevention and control of helminth neglected tropical diseases in the Western Pacific Region through multi-disease and multi-sectoral interventions
| Autor: | Jürg Utzinger, Leda M. Hernandez, Tayphasavanh Fengthong, Padmasiri Eswara Aratchige, Jun Nakagawa, John P. Ehrenberg, Thomas Fürst, Peter Steinmann, Glenda Gonzales, Chitsavang Chanthavisouk, Joshua Nealon |
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| Rok vydání: | 2015 |
| Předmět: |
China
congenital hereditary and neonatal diseases and abnormalities Veterinary (miscellaneous) Helminthiasis Psychological intervention Health Care Sector Disease World Health Organization Helminths Tropical Medicine Development economics Animals Humans Medicine Cooperative Behavior Productivity Asia Southeastern Sustainable development Public Sector Australasia Conflict of Interest business.industry Environmental resource management Neglected Diseases Agriculture Mongolia Educational attainment Intervention (law) Infectious Diseases Incentive Insect Science Communicable Disease Control Neglected tropical diseases Parasitology business |
| Zdroj: | Acta Tropica. 141:407-418 |
| ISSN: | 0001-706X |
| DOI: | 10.1016/j.actatropica.2013.05.010 |
| Popis: | Neglected tropical diseases (NTDs) cause serious health, social and economic burdens in the countries of the World Health Organization Western Pacific Region. Among the NTDs, helminth infections are particularly prominent with regard to the number of infected individuals and health impact. Co-endemicity is common among impoverished and marginalized populations. To achieve effective and sustainable control of helminth NTDs, a deeper understanding of the social-ecological systems governing their endemicity and strategies beyond preventive chemotherapy are required to tackle the multiple causes of infection and re-infection. We discuss the feasibility of implementing multi-disease, multi-sectoral intervention packages for helminth NTDs in the Western Pacific Region. After reviewing the main determinants for helminth NTD endemicity and current control strategies, key control activities that involve or concern other programmes within and beyond the health sector are discussed. A considerable number of activities that have an impact on more than one helminth NTD are identified in a variety of sectors, suggesting an untapped potential for synergies. We also highlight the challenges of multi-sectoral collaboration, particularly of involving non-health sectors. We conclude that multi-sectoral collaboration for helminth NTD control is feasible if the target diseases and sectors are carefully selected. To do so, an incentive analysis covering key stakeholders in the sectors is crucial, and the disease-control strategies need to be well understood. The benefits of multi-disease, multi-sectoral approaches could go beyond immediate health impacts by contributing to sustainable development, raising educational attainment, increasing productivity and reducing health inequities. |
| Databáze: | OpenAIRE |
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