Ndao B, Senghor C S, Sy I, Diedhiou K, Talla I, Barbier D, Dewavrin P, Klotz F, Georges P
Hôpital de Ninefecha, Ninefecha, Sénégal.
, District de Kédougou, Sénégal.
Bull Soc Pathol Exot. 2015 Feb;108(1):17-20. doi: 10.1007/s13149-014-0370-9. Epub 2014 Jun 21.
The authors report the results of controlling schistosomiasis in 53 villages from Ninefecha area-(Kedougou District, East Senegal) within Schistosomiasis National Control Program partnership. The four aims were: i) praziquantel treatment of 3324 children 6-14 years old, ii) installation of a laboratory for children prevalence annual monitoring (random draw one in three), iii) health education of the concerned people ("sensitization"), iiii) construction of latrines. 900 latrines are required and 649 have been built. The initial prevalence (2006) of 44% for S. mansoni and 4% for S. haematobium are now respectively 1.9% and 1.4% (2013). The program must be continuous as shown in the Assoni village: a prevalence study in children 0-5 years old, for which praziquantel is not recommended, reveals an infestation rate for S. mansoni of 78% in 2008 and of 47% in 2012. This age group is an important parasite reservoir and health education of parents is absolutely necessary. A permanent and effective center like Ninefescha hospital for distribution of praziquantel, sensitization meetings and latrines control is essential for the success of the program.
作者报告了在国家血吸虫病控制项目伙伴关系下，对塞内加尔东部凯杜古地区尼内费查区53个村庄的血吸虫病控制成果。四个目标是：i）对3324名6至14岁儿童进行吡喹酮治疗；ii）设立一个实验室，用于每年监测儿童患病率（每三个村庄随机抽取一个）；iii）对相关人群进行健康教育（“提高认识”）；iiii）建造厕所。共需要900个厕所，现已建造了649个。曼氏血吸虫的初始患病率（2006年）为44%，埃及血吸虫为4%，目前（2013年）分别为1.9%和1.4%。该项目必须持续进行，如阿索尼村所示：对0至5岁儿童进行的患病率研究（不建议对该年龄段儿童使用吡喹酮）显示，2008年曼氏血吸虫感染率为78%，2012年为47%。这个年龄组是一个重要的寄生虫宿主，对家长进行健康教育绝对必要。像尼内费查医院这样一个提供吡喹酮、举办提高认识会议和进行厕所检查的常设有效中心，对该项目的成功至关重要。
