The feasibility of eliminating podoconiosis.
The feasibility of eliminating podoconiosis.
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DOI：
10.2471/blt.14.150276
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发表时间：
2015-10-01
影响因子：
11.1
通讯作者：
Davey G
中科院分区：
文献类型：
--
作者：
Deribe K;Wanji S;Shafi O;M Tukahebwa E;Umulisa I;Molyneux DH;Davey G
足尘病是一种炎症性疾病，由长期接触土壤中的刺激性矿物质引起。主要症状包括下肢肿胀（淋巴水肿）和急性疼痛。这一疾病通过污名化和丧失生产力而产生重大的社会和经济后果。在过去的五年里，在足尘病的研究和控制方面取得了良好的进展。在家庭一级解决贫困问题以及道路、水和城市化等基础设施发展都有助于降低足病发病率。具体的控制方法包括使用鞋类、定期足部卫生和地板覆盖物。二级和三级预防的基础是控制与淋巴水肿有关的发病率，包括足部卫生、足部护理、伤口护理、压迫、锻炼、抬高腿部和治疗急性感染。某些流行病的国家正在采取主动行动，将足尘病纳入其控制被忽视的热带疾病的国家计划，并扩大防治这一疾病的干预措施。需要倡导提供鞋子作为一种健康干预措施。我们建议将病例定义和消除目标作为消除这种疾病的起点。
Podoconiosis is an inflammatory disease caused by prolonged contact with irritant minerals in soil. Major symptoms include swelling of the lower limb (lymphoedema) and acute pain. The disease has major social and economic consequences through stigma and loss of productivity. In the last five years there has been good progress in podoconiosis research and control. Addressing poverty at household level and infrastructure development such as roads, water and urbanization can all help to reduce podoconiosis incidence. Specific control methods include the use of footwear, regular foot hygiene and floor coverings. Secondary and tertiary prevention are based on the management of the lymphoedema-related morbidity and include foot hygiene, foot care, wound care, compression, exercises, elevation of the legs and treatment of acute infections. Certain endemic countries are taking the initiative to include podoconiosis in their national plans for the control of neglected tropical diseases and to scale up interventions against the disease. Advocacy is needed for provision of shoes as a health intervention. We suggest case definitions and elimination targets as a starting point for elimination of the disease.