Health education and the control of intestinal worm infections in China: a new vision.

Health education and the control of intestinal worm infections in China: a new vision.
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DOI:
10.1186/1756-3305-7-344
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发表时间:
2014-07-24
影响因子:
3.2
通讯作者:
Gray DJ
Gray DJ
中科院分区:
医学2区
文献类型:
--
作者:
McManus DP;Bieri FA;Li YS;Williams GM;Yuan LP;Henglin Y;Du ZW;Clements AC;Steinmann P;Raso G;Yap P;Magalhães RJ;Stewart D;Ross AG;Halton K;Zhou XN;Olveda RM;Tallo V;Gray DJ

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土壤传播蠕虫的传播与贫穷、不良卫生行为、缺乏清洁水以及废物处理和卫生设施不足有关。定期服用苯并咪唑类药物是全球性病控制的主要手段,但它不能防止再感染,也不太可能作为一种独立的干预措施来阻断传播。我们最近报道了在中国湖南省开发和成功测试的一套健康教育包,以预防中国汉族小学生的STH感染。我们最近已在多民族的云南省西双版纳自治州开始新的一揽子试验,该方法也正在西非进行测试,并将于2015年进一步扩展到菲律宾。中国的工作很好地说明了健康教育在提高知识和意识以及改变卫生行为方面可以产生的直接影响。此外,它可以提供洞察公共卫生的多组成部分的综合控制计划,其中健康教育,防止再感染和定期药物治疗,降低患病率和发病率的结果。
The transmission of soil-transmitted helminths (STHs) is associated with poverty, poor hygiene behaviour, lack of clean water and inadequate waste disposal and sanitation. Periodic administration of benzimidazole drugs is the mainstay for global STH control but it does not prevent re-infection, and is unlikely to interrupt transmission as a stand-alone intervention. We reported recently on the development and successful testing in Hunan province, PR China, of a health education package to prevent STH infections in Han Chinese primary school students. We have recently commenced a new trial of the package in the ethnically diverse Xishuangbanna autonomous prefecture in Yunnan province and the approach is also being tested in West Africa, with further expansion into the Philippines in 2015. The work in China illustrates well the direct impact that health education can have in improving knowledge and awareness, and in changing hygiene behaviour. Further, it can provide insight into the public health outcomes of a multi-component integrated control program, where health education prevents re-infection and periodic drug treatment reduces prevalence and morbidity.
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