Parasites and poverty: the case of schistosomiasis.

Parasites and poverty: the case of schistosomiasis.
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DOI:
10.1016/j.actatropica.2009.11.012
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发表时间:
2010-02
期刊:
影响因子:
2.7
通讯作者:
King, Charles H.
King, Charles H.
中科院分区:
医学2区
文献类型:
--
作者:
King, Charles H.

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多种寄生虫的同时和顺序传播,以及由此产生的重叠慢性感染,是许多欠发达农村地区的现实生活。这些对受影响人口来说是重大的、但往往衡量不周的健康和经济负担。例如,与长期血吸虫病相关的慢性炎症过程会导致贫血和营养不良,进而可能导致发育迟缓、学习成绩差、工作效率低下和持续贫困。到目前为止,大多数旨在控制寄生虫的国家和国际项目都没有考虑到多寄生虫传播背后的各种经济和生态因素,但一些项目开始提供一种协调一致的控制方法。此外,人们对重新评估和重新校准寄生虫感染的健康负担的新研究也产生了兴趣。他们的成果应突出综合防治寄生虫在减贫工作中的巨大潜力。
Simultaneous and sequential transmission of multiple parasites, and their resultant overlapping chronic infections, are facts of life in many underdeveloped rural areas. These represent significant but often poorly-measured health and economic burdens for affected populations. For example, the chronic inflammatory process associated with long-term schistosomiasis contributes to anaemia and undernutrition, which, in turn, can lead to growth stunting, poor school performance, poor work productivity, and continued poverty. To date, most national and international programs aimed at parasite control have not considered the varied economic and ecological factors underlying multi-parasite transmission, but some are beginning to provide a coordinated approach to control. In addition, interest is emerging in new studies for the re-evaluation and recalibration of the health burden of helminthic parasite infection. Their results should highlight the strong potential of integrated parasite control in efforts for poverty reduction.
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