Strategies for the elimination of taeniasis/cysticercosis

Strategies for the elimination of taeniasis/cysticercosis
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DOI:
10.1016/j.jns.2007.06.039
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发表时间:
2007-11-15
影响因子:
4.4
通讯作者:
Gilman, Robert H.
Gilman, Robert H.
中科院分区:
医学3区
文献类型:
--
作者:
Garcia, Hector H.;Gonzalez, Armando E.;Gilman, Robert H.

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神经囊尾蚴病领域的进展继续影响着我们对该疾病的理解以及控制它的努力。人们已经做出了一些尝试,通过积极干预措施来根除这种疾病,例如改变家养猪的饲养方式、猪囊尾蚴病和绦虫病的大规模化疗、选择性检测和治疗绦虫病以及社区健康教育。此外,澳大利亚、墨西哥和秘鲁在绦虫病的诊断和猪囊尾蚴病疫苗的开发方面不断取得进展,目前至少已经产生了一种有效的疫苗。然而,到目前为止,尝试的干预措施仅成功地暂时阻止了疾病的传播。迫切需要有关不同干预措施的有效性和可接受性的受控数据,以提供干预措施的基线示意图,随后可以根据每种特定的流行情况进行调整。 (c) 2007 年 Elsevier B.V. 出版
Advances in the field of neurocysticercosis continue to shape our understanding of the disease and our efforts to control it. Several attempts have been made to eradicate the disease with active interventions such as changing domestic pig-raising practices, mass chemotherapy of porcine cysticercosis and taeniasis, selective detection and treatment of taeniasis, and community health education. Moreover, ongoing progress in the diagnosis of taeniasis and the development of a porcine vaccine against cysticercosis in Australia, Mexico and Peru has yielded at least one effective vaccine that is currently available. Thus far, however, attempted interventions have only been successful in temporarily disrupting transmission of the disease. Controlled data on the efficacy and acceptability of the different interventions is urgently needed to provide a baseline schematic for intervention which could later be tailored to each particular endemic scenario. (c) 2007 Published by Elsevier B.V.