Cringoli Giuseppe, Rinaldi Laura, Albonico Marco, Bergquist Robert, Utzinger Jürg
Unit of Parasitology and Parasitic Diseases, Department of Veterinary Medicine and Animal Productions, University of Naples Federico II, Via della Veterinaria 1, Naples, Italy.
Geospat Health. 2013 May;7(2):399-404. doi: 10.4081/gh.2013.97.
Large-scale control and progressive elimination of a wide variety of parasitic diseases is moving to the fore. Indeed, there is good pace and broad political commitment. Yet, there are some worrying signs ahead, particularly the anticipated declines in funding and coverage of key interventions, and the paucity of novel tools and strategies. Further and intensified research and development is thus urgently required. We discuss advances in epidemiological sampling, diagnostic tools and geospatial methodologies. We emphasise the need for integrating sound epidemiological designs (e.g. cluster-randomised sampling) with innovative diagnostic tools and strategies (e.g. Mini-FLOTAC for detection of parasitic elements and pooling of biological samples) and high-resolution geospatial tools. Recognising these challenges, standardisation of quality procedures, and innovating, validating and applying new tools and strategies will foster and sustain long-term control and eventual elimination of human and veterinary public health issues.
大规模控制和逐步消除多种寄生虫病正成为当务之急。事实上,目前进展顺利且有广泛的政治承诺。然而,未来也存在一些令人担忧的迹象,特别是关键干预措施的资金和覆盖范围预计会下降,以及新型工具和策略匮乏。因此,迫切需要进一步加强研发。我们讨论了流行病学抽样、诊断工具和地理空间方法的进展。我们强调需要将合理的流行病学设计(如整群随机抽样)与创新的诊断工具和策略(如用于检测寄生虫成分的Mini-FLOTAC和生物样本合并)以及高分辨率地理空间工具相结合。认识到这些挑战,质量程序的标准化以及新工具和策略的创新、验证和应用将促进并维持对人类和兽医公共卫生问题的长期控制及最终消除。