非洲血吸虫病控制面临的挑战:未来之路

E. Omohwovo, Kebabonye P. Gabaake, D. Lucero‐Prisno
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引用次数: 0

摘要

血吸虫病是一种被忽视的热带疾病,在撒哈拉以南非洲地区流行,全球 90% 以上的病例发生在该地区。贫困、医疗保健基础设施不足以及用水和卫生设施有限是导致该疾病高发的原因。尽管人们努力控制和预防血吸虫病的传播,但由于面临一些挑战,传播率并未降低。本文强调了非洲血吸虫病控制所面临的挑战,并提出了成功干预的策略建议。这些策略包括优先考虑政府支持、投资于学术合作、加强综合卫生项目、通过初级卫生保健系统以社区为目标,以及采用本土解决方案。此外,还必须解决阻碍有效控制疾病的知识缺口以及治疗后再次感染的风险。通过实施这些战略,我们有可能实现世界卫生组织提出的 2021-2030 年目标,即消除血吸虫病这一公共卫生问题,并将其重度感染率降至 1%以下。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Challenges of schistosomiasis control in Africa: The path ahead
Schistosomiasis is a neglected tropical disease that is endemic in sub‐Saharan Africa, with over 90% of global cases occurring in the region. Poverty, inadequate healthcare infrastructure, and limited access to water and sanitation contribute to the high prevalence of the disease. Despite efforts to control and prevent the transmission of schistosomiasis, a reduction in the transmission rates has not been realized owing to several challenges. This article highlights the challenges of schistosomiasis control in Africa and recommends strategies for successful interventions. These strategies include prioritizing government backing, investing in academic partnerships, strengthening integrated health programs, targeting communities through the primary healthcare system, and adopting home‐grown solutions. Additionally, it is essential to address the knowledge gap hindering effective control of the disease and the risk of reinfection after treatment. By implementing these strategies, it is possible to achieve the World Health Organization's 2021–2030 goal of eliminating schistosomiasis as a public health problem and reducing its prevalence of heavy infection to less than 1%.
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