Control of Taenia solium taeniasis/cysticercosis: The best way forward for sub-Saharan Africa?
Control of Taenia solium taeniasis/cysticercosis: The best way forward for sub-Saharan Africa?
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DOI：
10.1016/j.actatropica.2016.04.010
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发表时间：
2017-01-01
期刊：
影响因子：
2.7
通讯作者：
Johansen, M. V.
中科院分区：
文献类型：
--
作者：
Gabriel, S.;Dorny, P.;Johansen, M. V.
带绦虫病/囊虫病是一种被忽视的寄生虫病，具有重大的经济和公共卫生影响。控制措施可大致分为社区健康教育、改善卫生和卫生条件、在家庭和社区一级适当处理肉类、提高肉类检查标准、猪管理、治疗个别患者和可能的人群，以及治疗和/或接种猪群。这份手稿审视了目前现有的控制选项，并提供了建议，哪些（组合）工具将是最有效的控制T。撒南非洲猪带绦虫病/囊虫病：实地数据和疾病传播模拟表明，实施单一干预控制战略不会导致令人满意地减少疾病发病率或传播。提出了一种可行的防治T.猪带绦虫病/囊虫病将包括侧重于人类（健康教育和治疗）和动物宿主（管理、治疗和疫苗接种）的综合办法，这些办法因不同社区和不同地理位置而异。具体战略的选择取决于根据可靠的实地数据进行的成本效益分析，这些数据目前还没有，但迫切需要;以及卫生优先事项和国家资源。控制并最终消除。最后，任何干预措施的成功在很大程度上取决于社会和政治接受、承诺和参与的程度。(C)2016爱思唯尔B. V.保留所有权利。
Taeniasolium taeniasis/cysticercosis is a neglected parasitic zoonosis with significant economic and public health impacts. Control measures can be broadly grouped into community health education, improvements in hygiene and sanitary conditions, proper meat handling at household and community level, improved standards of meat inspection, pig management, treatment of individual patients and possibly human populations, and treatment and/or vaccination of porcine populations. This manuscript looks critically into currently existing control options and provides suggestions on which (combination of) tools would be most effective in the control of T. solium taeniasis/cysticercosis in sub-Saharan Africa.Field data and disease transmission simulations suggest that implementation of a single intervention control strategy will not lead to a satisfactory reduction of disease morbidity or transmission. A feasible strategy to combat T. solium taeniasis/cysticercosis would include a combination of approaches focussing on both human (health education and treatment) and animal host (management, treatment and vaccination), which can vary for different communities and different geographical locations. Selection of the specific strategy depends on cost-effectiveness analyses based on solid field data, currently unavailable, though urgently needed; as well as on health priorities and resources of the country.A One Health approach involving medical, veterinary, environmental and social sectors is essential for T. solium to be controlled and eventually eliminated. Finally the success of any intervention is largely dependent on the level of societal and political acceptance, commitment and engagement. (C) 2016 Elsevier B.V. All rights reserved.