Schistosomiasis Control: Leave No Age Group Behind.

Schistosomiasis Control: Leave No Age Group Behind.
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DOI:
10.1016/j.pt.2020.04.012
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发表时间:
2020-07
影响因子:
9.6
通讯作者:
Rollinson D
Rollinson D
中科院分区:
医学1区
文献类型:
--
作者:
Faust CL;Osakunor DNM;Downs JA;Kayuni S;Stothard JR;Lamberton PHL;Reinhard-Rupp J;Rollinson D

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尽管在非洲血吸虫病控制方面取得了加速进展,但由于目前的治疗和监测战略主要侧重于学龄儿童,一些年龄组的血吸虫病已黯然失色。由于血吸虫病对所有年龄段的人都构成威胁,目前的治疗覆盖率和相关监测工作存在着令人遗憾的差距,阻碍了学龄前儿童以及某些青少年和成年人随后的健康益处。必须通过即将推出的儿科吡喹酮制剂扩大年轻人获得治疗的机会,并提高老年人的治疗覆盖率。在开展这项工作的同时,还应将这些群体正式纳入大规模的监测和评价活动。目前在治疗和监测中忽略这些年龄组加剧了卫生不公平,并对可持续血吸虫病控制产生长期影响。
Despite accelerating progress towards schistosomiasis control in Africa, several age groups have been eclipsed by current treatment and monitoring strategies that mainly focus on school-aged children. As schistosomiasis poses a threat to people of all ages, unfortunate gaps exist in current treatment coverage and associated monitoring efforts, preventing subsequent health benefits to preschool-aged children as well as certain adolescents and adults. Expanding access to younger ages through forthcoming paediatric praziquantel formulation and improving treatment coverage in older ages is essential. This should occur alongside formal inclusion of these groups in large-scale monitoring and evaluation activities. Current omission of these age groups from treatment and monitoring exacerbates health inequities and has long-term consequences for sustainable schistosomiasis control.
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