A new global strategy for the elimination of schistosomiasis
| Autor: | Remigio M. Olveda, Marianette T. Inobaya, Yuesheng Li, Allen G. Ross, Thao N.P. Chau, Donald A. Harn |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Microbiology (medical)
Rural Population 030231 tropical medicine Population artemether Developing country Schistosomiasis Drug compliance Holistic health Global Health dosage Praziquantel lcsh:Infectious and parasitic diseases Toxicology 03 medical and health sciences 0302 clinical medicine Population Groups integrated control Medicine Humans lcsh:RC109-216 Operations management 030212 general & internal medicine Mass drug administration education Community development Anthelmintics education.field_of_study Infection Control business.industry Mass Drug Administration (MDA) Global strategy General Medicine medicine.disease community development Infectious Diseases business |
| Zdroj: | International Journal of Infectious Diseases, Vol 54, Iss C, Pp 130-137 (2017) |
| ISSN: | 1878-3511 |
| Popis: | Mass drug administration utilising a single oral dose of 40 mg/kg of praziquantel (PZQ) has been endorsed and advocated by the World Health Organisation (WHO) for the global control and elimination of schistosomiasis. However, this strategy is failing primarily because the drugs are not getting to the people who need them the most. The current global coverage is 20%, the drug compliance rate is less than 50%, and the drug efficacy is approximately 50%. Thus in reality, only about 5% of the reservoir human population is actually receiving intermittent chemotherapy. Despite claims that more of the drug will soon be made available the current strategy is inherently flawed and will not lead to disease elimination. We discuss the many practical issues related to this global strategy, and advocate for an integrated control strategy targeting the life cycle and the most at-risk. Moreover, we discuss how an integrated control package for schistosomiasis should fit within a larger integrated health package for rural and remote villages in the developing world. A holistic health system approach is required to achieve sustainable control and ultimately disease elimination. |
| Databáze: | OpenAIRE |
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