Intervention for the control of soil-transmitted helminthiasis in the community.
Intervention for the control of soil-transmitted helminthiasis in the community.
复制标题
DOI：
10.1016/s0065-308x(05)61008-1
复制
发表时间：
2006
影响因子：
--
通讯作者：
Savioli L
中科院分区：
文献类型：
--
作者：
Albonico M;Montresor A;Crompton DW;Savioli L
对以定期驱虫治疗、健康教育和改善卫生标准为基础的土源性蠕虫病控制全球战略进行了审查。解释了制定基于群体干预而不是个体治疗的控制策略的原因。讨论了控制计划的证据和经验，这些证据和经验为 i) 干预方案的定义、ii) 风险群体的识别、iii) 社区诊断的标准化以及 iv) 为社区中每个类别选择适当的干预措施奠定了基础。介绍了如何最好地提供适当的干预措施、控制措施对发病率以及学校出勤率、认知发展和生产力等指标的影响。还考虑了影响蠕虫控制成本效益的因素。阐述了控制土源性蠕虫感染的最新进展。根据涉及蠕虫控制的公私合作伙伴关系的最新看法，对研究需求进行了分析。控制土源性蠕虫感染的前进方向被描述为一种多种疾病的方法，该方法超越了驱虫的范围，并促进了支持千年发展目标目标的扶贫战略。
The global strategy for the control of soil-transmitted helminthiasis, based on regular anthelminthic treatment, health education, and improved sanitation standards, is reviewed. The reasons for the development of a control strategy based on population intervention rather than on individual treatment are explained. The evidence and experience from control programmes that created the basis for i) the definition of the intervention package, ii) the identification of the groups at risk, iii) the standardization of the community diagnosis, and iv) the selection of the appropriate intervention for each category in the community are discussed. How to best deliver the appropriate intervention, the impact of the control measures on morbidity and on indicators such as school attendance, cognitive development and productivity are presented. The factors influencing the cost-benefits of helminth control are also considered. The recent progress on the control of soil-transmitted helminth infections is illustrated. Research needs are analysed in relation to the most recent perceptions from private-public partnerships involved in helminth control. The way forward for the control of soil-transmitted helminth infections is described as a multi-disease approach that goes beyond deworming and fosters a pro-poor strategy that supports the aims of the Millennium Development Goals.