Addiss David G
Children Without Worms, Task Force for Global Health, Decatur, GA 30030, USA
Int Health. 2015 Nov;7(6):377-9. doi: 10.1093/inthealth/ihv055. Epub 2015 Aug 26.
Soil-transmitted helminthiasis (STH) affects more than one billion people worldwide. WHO aims to control STH as a public health problem by providing periodic anthelminthic treatment to ≥75% of all at-risk children. Tracking progress toward this 2020 goal relies on accurate reporting of drug coverage. For STH, this is difficult because an unknown-but substantial-proportion of deworming occurs outside nationally-administered STH control programs, so-called 'unprogrammed deworming.' Further, coordination of intersectoral efforts needed to administer drugs to different risk groups-and to report coverage to WHO-is inadequate. This paper describes these challenges and offers suggestions to overcome them.
土壤传播的蠕虫病（STH）在全球影响着超过10亿人。世界卫生组织旨在通过为所有高危儿童中的至少75%提供定期驱虫治疗，将STH作为一个公共卫生问题加以控制。追踪实现这一2020年目标的进展情况依赖于对药物覆盖率的准确报告。对于STH而言，这很困难，因为在国家管理的STH控制项目之外发生了比例未知但相当大的驱虫情况，即所谓的“非计划性驱虫”。此外，向不同风险群体给药并向世界卫生组织报告覆盖率所需的部门间努力的协调也不足。本文描述了这些挑战并提出了克服它们的建议。
