To Reduce the Global Burden of Human Schistosomiasis, Use 'Old Fashioned' Snail Control.

To Reduce the Global Burden of Human Schistosomiasis, Use 'Old Fashioned' Snail Control.
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DOI:
10.1016/j.pt.2017.10.002
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发表时间:
2018-01
影响因子:
9.6
通讯作者:
De Leo GA
De Leo GA
中科院分区:
医学1区
文献类型:
--
作者:
Sokolow SH;Wood CL;Jones IJ;Lafferty KD;Kuris AM;Hsieh MH;De Leo GA

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减少人类血吸虫病的控制策略已经从世纪前的“捡螺”运动发展到现代大规模的人类治疗运动或预防性化疗。不幸的是,尽管预防性化疗运动有所增加,但今天仍有许多人与50年前一样患有血吸虫病。控制蜗牛可以通过减少从蜗牛传播给人类的风险来补充预防性化疗。在这里,我们提出了现代化和扩大蜗牛控制的想法,包括时空定位,环境诊断,更好的灭螺剂,新技术(如基因驱动),和“盒子外”的战略,如天敌,陷阱和驱虫剂。我们的结论是,为了实现世界卫生大会宣布的消灭血吸虫病的目标,现在是重新审视蜗牛控制的时候了。
Control strategies to reduce human schistosomiasis have evolved from ‘snail picking’ campaigns, a century ago, to modern wide-scale human treatment campaigns, or preventive chemotherapy. Unfortunately, despite the rise in preventive chemotherapy campaigns, just as many people suffer from schistosomiasis today as did fifty years ago. Snail control can complement preventive chemotherapy by reducing the risk of transmission from snails to humans. Here, we present ideas for modernizing and scaling up snail control, including spatiotemporal targeting, environmental diagnostics, better molluscicides, new technologies (e.g. gene drive), and ‘outside the box’ strategies such as natural enemies, traps, and repellants. We conclude that, to achieve the World Health Assembly’s stated goal to eliminate schistosomiasis, it is time to give snail control another look.
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发表时间: 2017-05-16
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