我们是否应该治疗非洲的动物血吸虫病？对人类及其家畜血吸虫病控制进行“同一健康”经济评估的必要性。
Should we be treating animal schistosomiasis in Africa? The need for a One Health economic evaluation of schistosomiasis control in people and their livestock.
作者信息
Gower Charlotte M, Vince Louise, Webster Joanne P
机构信息
Centre for Emerging, Endemic and Exotic Diseases (CEEED), Pathobiology and Population Sciences, Royal Veterinary College, University of London, London AL9 7TA, UK.
London Centre for Neglected Tropical Disease Research (LCNTDR), Faculty of Medicine, Imperial College London, Norfolk Place, London W2 1PG, UK.
出版信息
Trans R Soc Trop Med Hyg. 2017 Jun 1;111(6):244-247. doi: 10.1093/trstmh/trx047.
Abstract
A One Health economic perspective allows informed decisions to be made regarding control priorities and/or implementation strategies for infectious diseases. Schistosomiasis is a major and highly resilient disease of both humans and livestock. The zoonotic component of transmission in sub-Saharan Africa appears to be more significant than previously assumed, and may thereby affect the recently revised WHO vision to eliminate schistosomiasis as a public health problem by 2025. Moreover, animal schistosomiasis is likely to be a significant cost to affected communities due to its direct and indirect impact on livelihoods. We argue here for a comprehensive evaluation of the economic burden of livestock and zoonotic schistosomiasis in sub-Saharan Africa in order to determine if extending treatment to include animal hosts in a One Health approach is economically, as well as epidemiologically, desirable.
摘要
“同一健康”的经济视角有助于就传染病的防控重点和/或实施策略做出明智决策。血吸虫病是人和家畜的一种主要且极具韧性的疾病。在撒哈拉以南非洲，人畜共患传播部分似乎比之前认为的更为显著，进而可能影响世界卫生组织最近修订的到2025年消除血吸虫病这一公共卫生问题的愿景。此外，动物血吸虫病因其对生计的直接和间接影响，可能给受影响社区带来巨大经济成本。我们在此主张对撒哈拉以南非洲家畜和人畜共患血吸虫病的经济负担进行全面评估，以确定在“同一健康”方法中将治疗范围扩大至动物宿主在经济和流行病学上是否可取。
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