ZAHRA A
Bull World Health Organ. 1956;15(6):911-35.
Nsukka Division in Eastern Nigeria was chosen as the starting point for a yaws eradication campaign undertaken by the Government assisted by WHO and UNICEF. Yaws was found to be hyper-endemic, and a policy of total mass treatment was therefore adopted. The objectives of the campaign, the field organization and methods of operation, and the clinical findings and treatment schedules used are described.A total of 383 769 persons were examined and treated with penicillin; of these 12 221 were infectious cases, 42 553 were late cases, and 328 995 were latent cases and contacts. It is believed that over 95% of the population was seen. Resurveys at intervals of six months showed a dramatic fall in the reservoir of infectious cases.The campaign was also used to stimulate better rural health services, and a network of local health centres was built by the people themselves.
尼日利亚东部的恩苏卡地区被选为在世界卫生组织和联合国儿童基金会协助下由政府开展的雅司病根除运动的起点。发现雅司病为高度流行,因此采用了全面群体治疗政策。本文描述了该运动的目标、现场组织和运作方法,以及所采用的临床发现和治疗方案。共有383769人接受了青霉素检查和治疗;其中12221例为感染病例,42553例为晚期病例,328995例为潜伏病例和接触者。据信已检查了超过95%的人口。每隔六个月进行的复查显示,感染病例库大幅下降。该运动还被用于推动改善农村卫生服务,当地人民自己建立了一个地方卫生中心网络。