Geographically Targeted Interventions versus Mass Drug Administration to Control Taenia solium Cysticercosis, Peru

Autor: Seth E. O’Neal, Ian W. Pray, Percy Vilchez, Ricardo Gamboa, Claudio Muro, Luz Maria Moyano, Viterbo Ayvar, Cesar M. Gavidia, Robert H. Gilman, Armando E. Gonzalez, Hector H. Garcia
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Emerging Infectious Diseases, Vol 27, Iss 9, Pp 2389-2398 (2021)
Druh dokumentu: article
ISSN: 1080-6040
1080-6059
DOI: 10.3201/eid2709.203349
Popis: Optimal control strategies for Taenia solium taeniasis and cysticercosis have not been determined. We conducted a 2-year cluster randomized trial in Peru by assigning 23 villages to 1 of 3 geographically targeted intervention approaches. For ring screening (RS), participants living near pigs with cysticercosis were screened for taeniasis; identified cases were treated with niclosamide. In ring treatment (RT), participants living near pigs with cysticercosis received presumptive treatment with niclosamide. In mass treatment (MT), participants received niclosamide treatment every 6 months regardless of location. In each approach, half the villages received targeted or mass oxfendazole for pigs (6 total study arms). We noted significant reductions in seroincidence among pigs in all approaches (67.1% decrease in RS, 69.3% in RT, 64.7% in MT; p
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