Coverage and costs of a school deworming programme in 2007 targeting all primary schools in Lao PDR.

Coverage and costs of a school deworming programme in 2007 targeting all primary schools in Lao PDR.
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DOI:
10.1016/j.trstmh.2008.04.036
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发表时间:
2008-12
影响因子:
2.2
通讯作者:
Ehrenberg J
Ehrenberg J
中科院分区:
医学4区
文献类型:
--
作者:
Phommasack B;Saklokham K;Chanthavisouk C;Nakhonesid-Fish V;Strandgaard H;Montresor A;Shuey DA;Ehrenberg J

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通过土壤传播的蠕虫感染是老挝最常见的感染之一。该国最近的调查确定,肠道蠕虫目前感染大多数学龄儿童。老挝政府解决了这一问题,在将健康教育活动纳入全国学校课程的同时,为学龄儿童和学龄前儿童组织了定期使用500毫克甲苯咪唑的抗寄生虫化疗。老挝人民民主共和国的学校驱虫运动达到了全国覆盖率95%,每年两轮驱虫的费用为0.124美元/人。该方案隶属于国家学校保健方案。1年后(2轮驱虫),人群蛔虫感染率由60%降至20%,鞭虫感染率由42%降至31%。尽管通过驱虫干预未能消除感染,但在仍被感染的儿童中,超过90%的儿童感染程度较轻。实际上没有高强度和中等强度的感染,表明定期驱虫在降低STH的发病率方面是有效的。我们预计,更多的驱虫工作将进一步降低老挝人民民主共和国的性传播疾病流行率。
Infections with soil-transmitted helminths are among the commonest infections in Lao PDR. Recent investigation in this country determined that intestinal helminths currently infect the majority of school-aged children. The Lao Government has addressed the problem by organizing regular anti-helminthic chemotherapy with Mebendazole 500 mg for school and pre-school children in conjunction with health education activities incorporated into the national school curriculum. The school de-worming campaign in Lao PDR reached a national coverage rate of 95% at a cost of 0.124 USD/head for two rounds of de-worming per year. The programme is under the umbrella of the national school health programme. After one year (2 rounds of deworming) the intervention reduced the prevalence of Ascaris lumbricoides from 60% to 20% and of Trichuris trichiura from 42% to 31%. Although infection was not eliminated by the de-worming interventions, of those children who remain infected, over 90% had a ‘light’ infection. The virtual absence of high and moderate intensity infection demonstrates the effectiveness of periodical de-worming in reducing the morbidity due to STH. We expect that additional rounds of deworming will further reduce the STH prevalence in Lao PDR.
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发表时间: 2001-07-01
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