Community participation eliminates yaws in Ecuador
Community participation eliminates yaws in Ecuador
复制标题
DOI：
10.1046/j.1365-3156.2003.01073.x
复制
发表时间：
2003-07-01
影响因子：
3.3
通讯作者：
Tognoni, G
中科院分区：
文献类型：
--
作者：
Anselmi, M;Moreira, JM;Tognoni, G
雅司病不再是国家和国际卫生干预的优先事项，但在少数受影响的社区中，对该疾病仍有负面看法。1988年在厄瓜多尔北方地区进行的一项调查记录了16.5%的临床病例和96.3%的血清学病例的流行率。因此，制定了一项持续、长期的社区监测方案，重点关注作为一种重要疾病的雅司病。这次干预的结果报告在这里。1993年，第二次调查表明，临床病例的流行率下降到1.4%，血清学病例下降到4.7%。在1993年至1998年期间，没有发现其他临床病例，1998年的血清学流行率为3.5%，与原发性或先天性梅毒的临床病例、随访中的潜伏性雅司病和血清学滴度低的个体相对应，这表明存在“血清学疤痕”。这些数据表明雅司病已被消除。干预措施的另一个重要成果是增强了社区的自信心，相信健康问题是可以解决的。
Yaws is no longer a national and international health priority for intervention, but there is still a negative perception of the disease in the few affected communities. A survey in 1988 in the northern region of Ecuador documented a prevalence of 16.5% of clinical cases and 96.3% of serological cases. A continuous, long-term community-based surveillance programme was therefore put in place focusing on yaws as one of the sentinel diseases. The results of this intervention are reported here. In 1993, a second survey showed a reduction in the prevalence of clinical cases to 1.4% and of serological cases to 4.7%. Between 1993 and 1998, no other clinical cases were detected and the serological prevalence in 1998 was 3.5%, corresponding with clinical cases of primary or congenital syphilis, latent yaws under follow-up, and individuals with low serological titres indicating a 'serological scar'. These data indicate that yaws has been eliminated. Another important outcome of the intervention is the increased self-confidence in the communities that health problems can be tackled.