Transactions of The Royal Society of Tropical Medicine and Hygiene最新文献_第2页

Underweight among returned adults after internal displacement in Gezira, Central Sudan: a community-based cross-sectional study. 苏丹中部Gezira境内流离失所后返回的成年人体重不足：一项基于社区的横断面研究

IF 1.5 4区医学

Transactions of The Royal Society of Tropical Medicine and Hygiene Pub Date : 2026-05-04 DOI: 10.1093/trstmh/trag013

Elfatih M Malik, Saeed M Omar, Eman A Alotaibi, Ishag Adam

{"title":"Underweight among returned adults after internal displacement in Gezira, Central Sudan: a community-based cross-sectional study.","authors":"Elfatih M Malik, Saeed M Omar, Eman A Alotaibi, Ishag Adam","doi":"10.1093/trstmh/trag013","DOIUrl":"10.1093/trstmh/trag013","url":null,"abstract":"Background: Underweight and thinness are major global health problems, especially in Africa. This study aimed to assess the prevalence and factors associated with underweight among Sudanese adults in Central Sudan.Method: A multistage community-based survey was conducted in Central Sudan. Sociodemographic data were collected using a face-to-face questionnaire. Body mass index (kg/m2) was recorded and multivariable multinomial logistic regression was performed.Results: Of 914 adults, 445 (48.6%) had a normal weight, 209 (22.9%) were underweight, 163 (18.4%) were overweight and 92 (10.1%) were obese. Univariate multinomial analysis showed that age was inversely associated with underweight (odds ratio [OR] 0.98 [95% confidence interval {CI} 0.97 to 0.99]). Being unmarried (OR 1.50 [95% CI 1.07 to 2.12]) was associated with underweight. In the multivariable multinomial logistic regression, none of the factors were associated with underweight. Being married was associated with overweight (adjusted OR [aOR] 2.20 [95% CI 1.31 to 3.67]) and obesity (aOR 2.79 [95% CI 1.07 to 7.27]). Female sex (aOR 2.79 [95% CI 1.07 to 7.27]) was associated with obesity.Conclusions: These findings confirm the high prevalence of underweight among adults in Central Sudan. Therefore, nutritional education and public health programs are urgently needed to address the postwar situation.","PeriodicalId":23218,"journal":{"name":"Transactions of The Royal Society of Tropical Medicine and Hygiene","volume":" ","pages":"569-574"},"PeriodicalIF":1.5,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147276606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

What drives rural households to use antibiotics? Findings from a community-based study in rural blocks of Pune, India. 是什么促使农村家庭使用抗生素？来自印度浦那农村街区社区研究的结果。

IF 1.5 4区医学

Transactions of The Royal Society of Tropical Medicine and Hygiene Pub Date : 2026-05-04 DOI: 10.1093/trstmh/trag012

Sakshi Shantanu Hiralkar, Pravin Arun Sawant, Yogita Purushottam Hulsurkar, Abhishek Prakash Randive, Mugdha Sharad Phutane, Uma Satish Mahajan, Prashant Pawar, Prashant Mhase, Abhay Machindra Kudale

{"title":"What drives rural households to use antibiotics? Findings from a community-based study in rural blocks of Pune, India.","authors":"Sakshi Shantanu Hiralkar, Pravin Arun Sawant, Yogita Purushottam Hulsurkar, Abhishek Prakash Randive, Mugdha Sharad Phutane, Uma Satish Mahajan, Prashant Pawar, Prashant Mhase, Abhay Machindra Kudale","doi":"10.1093/trstmh/trag012","DOIUrl":"10.1093/trstmh/trag012","url":null,"abstract":"Background: While antibiotics are essential, their misuse across human, animal and environmental sectors contributes significantly to antimicrobial resistance (AMR). Antimicrobial stewardship programmes aim to address this, but their reach remains limited in rural settings. As social units, households play a critical role in shaping health behaviours, making their involvement vital in research. The objective of the current study was to identify system-wise use and determinants of antibiotic use in rural households.Methods: A cross-sectional survey was conducted in two randomly selected rural blocks: Junnar and Mulshi in Pune district. Of 1993 households screened, 443 with ongoing antibiotic use (verified by prescription or physical availability) were included. Data on illnesses, knowledge, healthcare access and behaviours were collected using a semistructured questionnaire. Statistical analysis included chi-square/Fisher's exact tests and multivariable logistic regression using Stata 12.1.Results: Antibiotic purchases were significantly higher in other social groups. Statistically significant determinants of antibiotic use (p<0.005) included eye-related complaints and buying without a doctor's advice in Mulshi (adjusted OR [AOR]=4.95), use beyond 10 days (AOR=8.65), affordability (AOR=4.15), lack of awareness about incomplete doses (AOR=4.23) and belief that antibiotics are essential for recovery (AOR=4.67).Conclusions: Community-driven, context-specific antimicrobial stewardship interventions are crucial to address AMR, focusing on awareness, perceptions and responsible use among rural households.","PeriodicalId":23218,"journal":{"name":"Transactions of The Royal Society of Tropical Medicine and Hygiene","volume":" ","pages":"560-568"},"PeriodicalIF":1.5,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147310370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spatial Distribution, seasonal dynamics and molecular confirmation of malaria in District Malakand, Khyber Pakhtunkhwa, Pakistan. 巴基斯坦开伯尔-普赫图赫瓦省马拉坎德地区疟疾的空间分布、季节动态和分子确认。

IF 1.5 4区医学

Transactions of The Royal Society of Tropical Medicine and Hygiene Pub Date : 2026-05-04 DOI: 10.1093/trstmh/traf145

Rabia Rabia, Wasia Ullah

{"title":"Spatial Distribution, seasonal dynamics and molecular confirmation of malaria in District Malakand, Khyber Pakhtunkhwa, Pakistan.","authors":"Rabia Rabia, Wasia Ullah","doi":"10.1093/trstmh/traf145","DOIUrl":"10.1093/trstmh/traf145","url":null,"abstract":"Background: Malaria is a serious public health issue in Pakistan. This study investigated the spatiotemporal patterns, seasonal dynamics, and molecular confirmation of malaria in District Malakand, Khyber Pakhtunkhwa, from 2011 to 2017.Methods: Clinical data were collected from the District Headquarters Hospital over 7 y. A random sample of 120 patients from 2017 was used for microscopic and molecular identification. Spatial-temporal patterns were analysed using ArcGIS (Environmental Systems Research Institute (Esri), Redlands, California, United States). Statistical analyses were performed using SPSS (IBM Corporation, Armonk, New York, United States) and R software (R Foundation for Statistical Computing, Vienna, Austria).Results: Of 41 863 tests, 6246 were positive, yielding an overall test positivity rate of 14.92%. Males (58.89%) were more affected than females. The highest proportion of cases was in the 1-20-y age group. The annual test positive rate declined from 32.97% in 2011 to 10.77% in 2017. Seasonally, autumn had the highest case proportion (46.73%); winter the lowest (7.09%). Spatial analysis identified Gharhi, Dargai and Haryankot as high-burden areas. Inverse distance weighting highlighted these as hotspots for potential transmission. PCR confirmed microscopy-based species identification.Conclusions: Malaria in Malakand peaks in autumn, affecting males and individuals aged <20 y most. Neighbouring villages are at risk from hyper-endemic areas. Microscopy remains a dependable diagnostic tool here.","PeriodicalId":23218,"journal":{"name":"Transactions of The Royal Society of Tropical Medicine and Hygiene","volume":" ","pages":"461-471"},"PeriodicalIF":1.5,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An outbreak of cutaneous leishmaniasis from Belize in British Army personnel: a prospective clinical analysis. 英国陆军人员伯利兹皮肤利什曼病暴发：前瞻性临床分析

IF 1.5 4区医学

Transactions of The Royal Society of Tropical Medicine and Hygiene Pub Date : 2026-05-04 DOI: 10.1093/trstmh/trag004

Ronan J Murphy, Mark S Bailey

{"title":"An outbreak of cutaneous leishmaniasis from Belize in British Army personnel: a prospective clinical analysis.","authors":"Ronan J Murphy, Mark S Bailey","doi":"10.1093/trstmh/trag004","DOIUrl":"10.1093/trstmh/trag004","url":null,"abstract":"Background: Cutaneous leishmaniasis (CL) is a vector-borne protozoal infection that causes skin lesions. Military personnel make up around 45% of UK cases. This study reports an outbreak of 35 soldiers with suspected CL from an exercise in Belize.Methods: A prospective clinical analysis was conducted to characterise case presentations. Diagnostic results, time to cure and adverse effects were recorded.Results: Thirty cases had laboratory-confirmed CL and three had suspected/resolved CL. Fifty percent of lesions were on the ear or face and 45% were on sites normally covered by clothing. Combined laboratory testing of skin biopsies confirmed a diagnosis in all cases. Ninety-three percent of species identified were Leishmania mexicana. Initial treatment was with miltefosine in 27 of the 30 confirmed cases. Five patients required second-line treatment with liposomal amphotericin B and one patient required third-line treatment with meglumine antimoniate.Conclusions: This study characterised the largest outbreak of CL from Belize in British Army personnel for at least 25 y. Aspects of this outbreak were atypical and more research is required to investigate these. A simultaneous testing strategy with histology, microscopy and polymerase chain reaction of biopsy samples was sensitive. Treatment with miltefosine was less effective than expected in L. mexicana infection.","PeriodicalId":23218,"journal":{"name":"Transactions of The Royal Society of Tropical Medicine and Hygiene","volume":" ","pages":"512-521"},"PeriodicalIF":1.5,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146143531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trend of zoonotic diseases outbreaks in India: a secondary data analysis of Integrated Disease Surveillance Programme data, 2010-2023. 印度人畜共患疾病暴发趋势：2010-2023年综合疾病监测方案数据的二次数据分析。

IF 1.5 4区医学

Transactions of The Royal Society of Tropical Medicine and Hygiene Pub Date : 2026-05-04 DOI: 10.1093/trstmh/trag011

Rama Shankar Rath, S A Rizwan, Pradip Kharya, Aroop Mohanty, Vivek Hada, Anil R Koparkar, Anand Mohan Dixit, Hari Shanker Joshi

{"title":"Trend of zoonotic diseases outbreaks in India: a secondary data analysis of Integrated Disease Surveillance Programme data, 2010-2023.","authors":"Rama Shankar Rath, S A Rizwan, Pradip Kharya, Aroop Mohanty, Vivek Hada, Anil R Koparkar, Anand Mohan Dixit, Hari Shanker Joshi","doi":"10.1093/trstmh/trag011","DOIUrl":"10.1093/trstmh/trag011","url":null,"abstract":"Background: Zoonotic diseases are occurring more frequently in different parts of the world. In India, most outbreaks are reported by the Integrated Diseases Surveillance Programme (IDSP). The objective of this study was to find the trend of zoonotic diseases reported in the IDSP portal.Methods: Data were collected from the IDSP portal from January 2010 to December 2023. Data were collected regarding each outbreak's start date, the number of cases and the number of deaths. A total of 10 diseases were included in the study.Results: From all reported outbreaks, a total of 1158 were reported for the selected zoonotic diseases. Japanese Encephalitis/Acute Encephalitis Syndrome (AES) was the most commonly reported outbreak. For anthrax, JE/AES, Crimean-Congo haemorrhagic fever, leptospirosis and scrub typhus, outbreaks and cases were reported throughout the year. However, most diseases were only reported during the rainy season (July-September).Conclusions: Although an increasing trend of the selected zoonotic diseases is reported in the current study, these data must be interpreted cautiously, considering the limitations of reporting. Activities should be planned based on burden estimation to prevent the morbidity and mortality associated with these diseases.","PeriodicalId":23218,"journal":{"name":"Transactions of The Royal Society of Tropical Medicine and Hygiene","volume":" ","pages":"585-590"},"PeriodicalIF":1.5,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence, intensity and predictors of intestinal schistosomiasis among fishermen in Ilemela Municipality, Tanzania. 坦桑尼亚伊勒梅拉市渔民肠道血吸虫病的流行、强度和预测因素

IF 1.5 4区医学

Transactions of The Royal Society of Tropical Medicine and Hygiene Pub Date : 2026-05-04 DOI: 10.1093/trstmh/trag009

Suma Richard Mwaipopo, Richard Mongi, David Z Munisi

{"title":"Prevalence, intensity and predictors of intestinal schistosomiasis among fishermen in Ilemela Municipality, Tanzania.","authors":"Suma Richard Mwaipopo, Richard Mongi, David Z Munisi","doi":"10.1093/trstmh/trag009","DOIUrl":"10.1093/trstmh/trag009","url":null,"abstract":"Background: Fishermen are among the most at-risk goups for Schistosomiasis due to their regular contact with cercarial contaminated water. This study determined the prevalence, intensity and predictors of intestinal schistosomiasis among fishermen in Ilemela Municipality, Tanzania.Methods: An analytical cross-sectional study was conducted among fishermen in Ilemela Municipality, Tanzania. Participants were conveniently recruited. Background and risk information were collected using a semistructured questionnaire, and Kato-katz technique for stool examination. Multivariate logistic regression was used to identify predictors of infection.Results: Among the 388 participants, 26.3% were infected with Schistosoma mansoni. The geometric mean eggs per gram of feces was 37.98 (95% CI 30.98 to 46.57). Of all infected participants, 84 (82.35%) and 18 (17.65%), had light and moderate intensity infections, respectively. Age, education, fishing frequency, toilet at the fishing area, fishing in shallow water and along the lake shore, years of fishing experience and distance to health facility were the significant predictors of infection.Conclusions: The study revealed a moderate prevalence of S. mansoni infection among study participants. This highlights fishermen as an untreated reservoir sustaining transmission, underscoring the need to include this group in control programs to protect this high-risk group and accelerate progress towards schistosomiasis-elimination goals.","PeriodicalId":23218,"journal":{"name":"Transactions of The Royal Society of Tropical Medicine and Hygiene","volume":" ","pages":"542-551"},"PeriodicalIF":1.5,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146207783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Molecular detection of Rickettsia species in Laelaps mites in North India. 印度北部Laelaps螨立克次体的分子检测。

IF 1.5 4区医学

Transactions of The Royal Society of Tropical Medicine and Hygiene Pub Date : 2026-05-04 DOI: 10.1093/trstmh/trag010

Manisha Biswal, Taruna Kaura, Shriya Goel, Kamlesh Bisht, Gagandeep Singh Grover, Abhishek Mewara, P V M Lakshmi

{"title":"Molecular detection of Rickettsia species in Laelaps mites in North India.","authors":"Manisha Biswal, Taruna Kaura, Shriya Goel, Kamlesh Bisht, Gagandeep Singh Grover, Abhishek Mewara, P V M Lakshmi","doi":"10.1093/trstmh/trag010","DOIUrl":"10.1093/trstmh/trag010","url":null,"abstract":"Background: Human rickettsial infections are not uncommon in India. However, there is little known about the carriage of these organisms in arthropod vectors in the country. The aim of the present study was to investigate the presence of Rickettsia in ectoparasites of rodents in North India.Methods: Rodent trapping was conducted in Chandigarh and Punjab in North India. Ectoparasites collected from rodents were identified using morphological and molecular techniques. The presence of Rickettsia spp. in ectoparasites was investigated using polymerase chain reaction targeting gltA and 17-kDa genes. Positive amplicons were sequenced using Sanger sequencing and phylogenetic analysis was conducted using MegaX.Results: Of 127 collected ectoparasites from trapped rodents, 16 ticks (34%), 2 pools of fleas (12.5%) and 1 pool of mites (25%) were found to be harbouring Rickettsia spp. The Rickettsia spp. present were found to be closely related to Rickettsia rhipicephali and Rickettsia massiliae.Conclusions: We report presence of Rickettsia spp. in mites, fleas and ticks in North India. To the best of our knowledge, this is the first molecular evidence of the presence of Rickettsia spp. in Laelaps mites from India. The role of haematophagous Laelaps mites in transmission of pathogenic rickettsial species in the region needs to be investigated.","PeriodicalId":23218,"journal":{"name":"Transactions of The Royal Society of Tropical Medicine and Hygiene","volume":" ","pages":"552-559"},"PeriodicalIF":1.5,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Molecular characterization of circulating dengue virus serotypes and genotypes from central India. 印度中部流行登革热病毒血清型和基因型的分子特征。

IF 1.5 4区医学

Transactions of The Royal Society of Tropical Medicine and Hygiene Pub Date : 2026-05-04 DOI: 10.1093/trstmh/trag006

Manish Katiyar, Kumar Sumit, Ramaraju Ambati, Pushpendra Singh

{"title":"Molecular characterization of circulating dengue virus serotypes and genotypes from central India.","authors":"Manish Katiyar, Kumar Sumit, Ramaraju Ambati, Pushpendra Singh","doi":"10.1093/trstmh/trag006","DOIUrl":"10.1093/trstmh/trag006","url":null,"abstract":"Background: Dengue fever is a vector borne viral disease common in tropical and subtropical climates. The present study reports the comprehensive molecular characterization of dengue virus (DENV) serotypes and genotypes from the central part of the Indian state, Madhya Pradesh, during 2023.Methods: In the retrospective study, 2442 suspected DENV cases were collected from January to December 2023 and were further analyzed using non-structural protein 1 (NS1) and IgM ELISA to determine seroprevalence. Samples collected within ≤5 d of onset of fever were included for serotyping and genotyping. Phylogenetic analysis was done using partial envelope (E) gene sequences.Results: Of 2442 samples, 231 were DENV positive, including 13 NS1 positive and 218 IgM ELISA positive cases. Among these, 61 samples (13 NS1 positive and 48 IgM positive within ≤5 d of fever) were subjected to PCR. 16 (26.2%) samples tested positive for DENV by PCR and were sequenced, of which 12 cases belonged to DENV-2, while four were DENV-1. Phylogenetic analysis showed that DENV-2 (cosmopolitan genotype, lineage 4) was predominant, followed by DENV-1 (genotype III [GIII]).Conclusions: These findings demonstrate that DENV-2 cosmopolitan lineage 4, and DENV-1 GIII in central part of India during 2023.","PeriodicalId":23218,"journal":{"name":"Transactions of The Royal Society of Tropical Medicine and Hygiene","volume":" ","pages":"533-541"},"PeriodicalIF":1.5,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147310192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Tree-hole breeding mosquitoes in Sennar state, eastern Sudan. 苏丹东部塞纳尔州的树洞蚊子繁殖。

IF 1.5 4区医学

Transactions of The Royal Society of Tropical Medicine and Hygiene Pub Date : 2026-05-04 DOI: 10.1093/trstmh/traf149

Osama Salah Basher Ishag, Hmooda Toto Kafy, Jihad Eltaher Sulieman, Khalid Sarour Mustafa, Khalid Sharafeldeen Elradi Saboon, Marc S Halfon, Rasha Siddig Azrag

{"title":"Tree-hole breeding mosquitoes in Sennar state, eastern Sudan.","authors":"Osama Salah Basher Ishag, Hmooda Toto Kafy, Jihad Eltaher Sulieman, Khalid Sarour Mustafa, Khalid Sharafeldeen Elradi Saboon, Marc S Halfon, Rasha Siddig Azrag","doi":"10.1093/trstmh/traf149","DOIUrl":"10.1093/trstmh/traf149","url":null,"abstract":"Background: Aedes-borne diseases represent an increasing public health problem in Sudan. There is a lack of knowledge of Aedes mosquitoes that breed in natural habitats, especially tree-holes. The current study describes Aedes mosquitoes' fauna in tree-holes of different tree species in Sennar state.Methods: Larval surveys were carried out to determine the presence and abundance of tree-hole mosquitoes in three study sites during the rainy season.Results: A total of 253 trees with holes containing water were inspected and 99 (39.10%) trees were positive for Aedes mosquito larvae. Eight Aedes mosquito species were identified from 798 collected larval specimens: Aedes luteocephalus (45.5%), Aedes furcifer (17.2%), Aedes unilineatus (15.4%), Aedes metallicus (9.6%), Aedes aegypti formosus (6.6%), Aedes africanus (4.5%), Aedes taylori (0.6%) and Aedes adersi (0.5%). Tree-holes of Psidium guajava and Mangifera indica contained higher numbers of Aedes species in terms of diversity and density compared with other types of trees.Conclusions: The predominance of sylvatic Aedes species in these areas raises concerns as many are known or potential vectors of arboviruses. These species could sustain the transmission of arboviruses within and around natural reserves and should be taken into consideration as part of the control framework for arboviral infections.","PeriodicalId":23218,"journal":{"name":"Transactions of The Royal Society of Tropical Medicine and Hygiene","volume":" ","pages":"497-503"},"PeriodicalIF":1.5,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146087349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Operationalising One Health for epidermal parasitic skin diseases: threshold-triggered mass drug administration and a minimal indicator set. 对表皮寄生虫皮肤病实施“一种健康”：阈值触发的大规模给药和最低指标集。

IF 1.5 4区医学

Transactions of The Royal Society of Tropical Medicine and Hygiene Pub Date : 2026-05-04 DOI: 10.1093/trstmh/trag017

Kalpana Kuntal

{"title":"Operationalising One Health for epidermal parasitic skin diseases: threshold-triggered mass drug administration and a minimal indicator set.","authors":"Kalpana Kuntal","doi":"10.1093/trstmh/trag017","DOIUrl":"10.1093/trstmh/trag017","url":null,"abstract":"Epidermal parasitic skin diseases (EPSDs)-including scabies, pediculosis, cutaneous leishmaniasis, tungiasis and cutaneous larva migrans-affect millions worldwide yet remain neglected within global health programmes. Control is hindered by delayed diagnosis, fragmented service delivery, weak surveillance and limited integration of human, animal and environmental interventions. This review operationalises a One Health approach for EPSDs by proposing a pragmatic, threshold-triggered control pathway supported by a minimal indicator set suitable for district-level implementation. Evidence published between 2020 and 2025 from clinical studies, implementation research, programme evaluations and international policy guidance was synthesised to develop an operational framework linking frontline detection with confirmation, treatment and programme action. The pathway includes three components. First, triage standardises dermoscopic assessment using brief checklists and structured image capture, with optional artificial intelligence decision support where feasible. Second, confirmation prioritises accessible diagnostics, including swab- or tape-based PCR and emerging isothermal assays supported by external quality assurance. Third, predefined epidemiological thresholds guide escalation from targeted case management with household treatment to community-wide mass drug administration when warranted. A minimum indicator set-diagnostic yield, time to treatment, antimicrobial days avoided, household delivery units and micro-costs-is proposed to support programme monitoring and integration into primary care.","PeriodicalId":23218,"journal":{"name":"Transactions of The Royal Society of Tropical Medicine and Hygiene","volume":" ","pages":"444-460"},"PeriodicalIF":1.5,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147481642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0