Stothard J Russell, Kabatereine Narcis B, Archer John, Al-Shehri Hajri, Tchuem-Tchuenté Louis Albert, Gyapong Margaret, Bustinduy Amaya L
Department of Parasitology,Liverpool School of Tropical Medicine,Liverpool,L3 5QA,UK.
Vector Control Division,Ministry of Health,P.O. Box 1661,Kampala,Uganda.
Parasitology. 2017 Oct;144(12):1602-1612. doi: 10.1017/S0031182016000998. Epub 2016 Jul 1.
Part of Robert T. Leiper's (1881-1969) lasting legacy in medical helminthology is grounded on his pioneering work on schistosomiasis (Bilharzia). Having undertaken many expeditions to the tropics, his fascination with parasite life cycles typically allowed him to devise simple preventive measures that curtailed transmission. Building on his formative work with others in Africa and Asia, and again in Egypt in 1915, he elucidated the life cycles of African schistosomes. His mandate, then commissioned by the British War Office, was to prevent and break transmission of this disease in British troops. This he did by raising standing orders based on simple water hygiene measures. Whilst feasible in military camp settings, today their routine implementation is sadly out of reach for millions of Africans living in poverty. Whilst we celebrate the centenary of Leiper's research we draw attention to some of his lesser known colleagues, then focus on schistosomiasis in Uganda discussing why expanded access to treatment with praziquantel is needed now. Looking to WHO 2020 targets for neglected tropical diseases, we introduce COUNTDOWN, an implementation research consortium funded by DFID, UK, which fosters the scale-up of interventions and confirm the current relevance of Leiper's original research.
罗伯特·T·利珀(1881 - 1969)在医学蠕虫学领域留下的部分持久遗产,基于他在血吸虫病(裂体吸虫病)方面的开创性工作。他多次前往热带地区考察,对寄生虫生命周期的痴迷使他通常能够设计出简单的预防措施来减少传播。在他与非洲和亚洲其他人员早期合作的基础上,1915年他又在埃及开展研究,阐明了非洲血吸虫的生命周期。当时他受英国战争办公室委托,任务是预防和阻断这种疾病在英国军队中的传播。他通过基于简单的水卫生措施制定长期指令来做到这一点。虽然这些措施在军事营地环境中可行,但如今对于数百万生活在贫困中的非洲人来说,日常实施这些措施却遥不可及。在我们庆祝利珀研究百年之际,我们提请人们关注他一些不太知名的同事,然后聚焦乌干达的血吸虫病,讨论为何现在需要扩大吡喹酮治疗的可及性。展望世界卫生组织针对被忽视热带病的2020年目标,我们介绍由英国国际发展部资助的实施研究联盟“倒计时”,该联盟促进干预措施的扩大推广,并证实利珀最初研究在当下的相关性。