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菲律宾莱特省贫困家庭儿童的土壤传播性蠕虫病和血吸虫病:疾病预防与控制的经验教训

Soil-Transmitted Helminthiasis and Schistosomiasis in Children of Poor Families in Leyte, Philippines: Lessons for Disease Prevention and Control.

作者信息

Liwanag Harvy Joy, Uy Jhanna, Bataller Ramil, Gatchalian Janis Ruth, De La Calzada Betty, Uy Justine Alessandra, Dayrit Manuel

机构信息

Ateneo Center for Health Evidence, Action, and Leadership (A-HEALS), Ateneo de Manila University, Ortigas Campus, 1605 Pasig City, Metro Manila, Philippines.

Ateneo School of Medicine and Public Health, Ateneo de Manila University, Ortigas Campus, 1605 Pasig City, Metro Manila, Philippines.

出版信息

J Trop Pediatr. 2017 Oct 1;63(5):335-345. doi: 10.1093/tropej/fmw078.

DOI:10.1093/tropej/fmw078
PMID:28115576
Abstract

OBJECTIVE

Neglected tropical diseases (NTDs) continue to be a public health problem in the Philippines. We assessed the association of soil-transmitted helminthiasis (STH) and schistosomiasis with selected health-related and socioeconomic variables in four villages in Leyte, Philippines.

METHODS

Stool specimens from 418 adults and 533 of their children from 209 families were examined through the Kato-Katz technique.

RESULTS

STH and schistosomiasis were present in 64.6% and 12.5%, respectively, of study participants. Analysis through the generalized linear mixed model revealed a number of associations between infection in parents and their children. Findings indicate that years of disease prevention and control efforts in these areas have been unable to bring down prevalence in children and their parents. Eliminating NTDs as public health problems will require a systems thinking approach beyond implementation of vertical control programs alone.

摘要

目的

被忽视的热带病(NTDs)在菲律宾仍然是一个公共卫生问题。我们评估了菲律宾莱特省四个村庄土壤传播的蠕虫病(STH)和血吸虫病与选定的健康相关及社会经济变量之间的关联。

方法

通过加藤厚涂片法对来自209个家庭的418名成年人及其533名儿童的粪便样本进行检测。

结果

分别有64.6%和12.5%的研究参与者感染了土壤传播的蠕虫病和血吸虫病。通过广义线性混合模型分析发现,父母与子女的感染之间存在多种关联。研究结果表明,这些地区多年的疾病预防和控制努力未能降低儿童及其父母的患病率。要消除作为公共卫生问题的被忽视的热带病,需要一种超越单纯实施垂直控制项目的系统思维方法。

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