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埃塞俄比亚血吸虫病和土壤传播蠕虫控制项目:进展与前景

Ethiopia Schistosomiasis and Soil-Transmitted Helminthes Control Programme: Progress and Prospects.

作者信息

Negussu Nebiyu, Mengistu Birhan, Kebede Biruck, Deribe Kebede, Ejigu Ephrem, Tadesse Gemechu, Mekete Kalkidan, Sileshi Mesfin

机构信息

Federal Ministry of Health, Addis Ababa Ethiopia.

Wellcome Trust Brighton & Sussex Centre for Global Health Research, Brighton & Sussex Medical School, Falmer, Brighton, UK.

出版信息

Ethiop Med J. 2017;55(Suppl 1):75-80.

Abstract

Schistosomiasis and soil-transmitted helminthes are among seventeen WHO prioritized neglected tropical diseases that infect humans. These parasitic infections can be treated using single-dose and safe drugs. Ethiopia successfully mapped the distribution of these infections nationwide. According to the mapping there are an estimated 37.3 million people living in schistosomiasis endemic areas, and 79 million in schistosomiasis and soil-transmitted helminthes endemic areas. The Federal Ministry of Health successfully scaled up Schistosomiasis and schistosomiasis and soil-transmitted helminthes intervention in endemic areas and treated over 19 million individuals in 2015. The Ministry of Health has made a huge effort to establish neglected tropical diseases, including schistosomiasis and soil-transmitted helminthes program in the health system which helped to map majority of the woredas and initiate nationwide intervention. The National control programme is designed to achieve elimination for those diseases as a major public health problem by 2020 and aim to attain transmission break by 2025. The programme focuses on reaching those school-aged children who are not attending school, integration between neglected tropical diseases programme, and further collaboration with the WASH actors.

摘要

血吸虫病和土壤传播的蠕虫病属于世界卫生组织确定的十七种重点被忽视热带病,这些疾病会感染人类。这些寄生虫感染可用单剂量安全药物进行治疗。埃塞俄比亚成功绘制了全国这些感染病的分布图。根据该分布图,估计有3730万人生活在血吸虫病流行地区,7900万人生活在血吸虫病和土壤传播蠕虫病流行地区。联邦卫生部在流行地区成功扩大了血吸虫病以及血吸虫病和土壤传播蠕虫病的干预措施,并在2015年治疗了超过1900万人。卫生部做出了巨大努力,在卫生系统中建立包括血吸虫病和土壤传播蠕虫病项目在内的被忽视热带病项目,这有助于绘制大多数县的地图并启动全国范围的干预措施。国家控制项目旨在到2020年将这些疾病作为主要公共卫生问题予以消除,并力争到2025年实现传播阻断。该项目侧重于覆盖那些未上学的学龄儿童,整合被忽视热带病项目,并进一步与水、环境卫生和个人卫生领域的行为体开展合作。

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