Soil-transmitted helminthiasis in Myanmar and approximate costs for countrywide control
Soil-transmitted helminthiasis in Myanmar and approximate costs for countrywide control
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DOI：
10.1111/j.1365-3156.2004.01297.x
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发表时间：
2004-09-01
影响因子：
3.3
通讯作者：
Savioli, L
中科院分区：
文献类型：
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作者：
Montresor, A;Zin, TT;Savioli, L
缅甸以前的调查表明，土壤传播的蠕虫是一个重大的公共卫生问题。然而，这些调查大多是小规模的或以医院为基础的。到目前为止，尚未在全国范围内对性传播感染的流行率和强度进行评估。我们进行了一项调查(2002年6月至2003年6月)，以评估该国不同生态区学龄儿童中STH感染的程度。在每个地区，选择了五所学校，并从每所学校中随机选择了50名儿童。从每个儿童身上收集寄生虫学和营养数据。我们发现感染的总体流行率为69%：18%的人感染强度中等到重度，22%的人贫血。在对年多镇200所学校的25000名学龄儿童进行治疗的试点工作中，在扩大规模和产生一些粗略成本之前，对该战略进行了测试。粗略计算购买和交付药物的支出，包括教师培训的费用，得出的结论是每个儿童的费用约为0.05美元。
Previous surveys in Myanmar indicate that soil-transmitted helminths (STH) are a significant public health problem. However the majority of these surveys are small scale or hospital based. To date there has been no countrywide assessment of the prevalence and intensity of STH infection. We conducted a survey (June 2002-June 2003) to assess the magnitude of STH infection in school age children in each of the different ecological areas of the country. In each area, five schools were selected and from each one, 50 children were randomly chosen. Parasitological and nutritional data were collected from each child. We found an overall prevalence of infection of 69%: 18% had a moderate-heavy intensity of infection, 22% were anaemic. A pilot exercise to treat 25 000 school age children in the 200 schools of Nyangdone Township tested the strategy before scaling up and to generate some rough costings. A crude calculation of the expenditure to buy and deliver the drugs, including the costs incurred in the teacher training, concluded that the cost per child was approximately 0.05 USD.