Instituto de Investigaciones en Enfermedades Tropicales, Universidad Nacional de Salta/Consejo Nacional de Investigaciones Científicas y Técnicas, Oran, Argentina.
PLoS Negl Trop Dis. 2018 Sep 13;12(9):e0006672. doi: 10.1371/journal.pntd.0006672. eCollection 2018 Sep.
Soil-transmitted helminthiases (STHs) constitute a public health problem that requires immediate action to resolve the morbidity of those harboring the parasites in their guts, to prevent infection in all those at risk, and to interrupt the vicious circle of poverty and disease in the affected communities, structural poverty being the main determinant of this group of infectious diseases. Since the times of the Rockefeller initiatives over a hundred years ago, the strategy has been viewed as one requiring community-wide efforts rather than pure individual case management. The World Health Organization (WHO) and its regional offices, as the governing institutions endorsed by the countries and their governments, have been the leaders in stating the actual executive measures to reach the goals and endpoints for the management of the problem. With the task of setting a group of activities that could be launched, monitored, and measured, these actions were established with the available resources since this public health problem had to be launched immediately, resources were those available at the moment and not those appearing on a wish list. Considerable progress has been made in the establishment of policies for the achievement of the Millennium Development Goals (MDGs), later followed by the Sustainable Development Goals (SDGs) through WHO-lead actions for the control of neglected tropical diseases (NTDs). With an initial goal of morbidity control, there are already discussions and proposals for elimination of STH if support is sustained and empiric facts confirm data emerging from modeling and small-scale studies. The aim of these comments is to describe and question instances of currently accepted concepts, theories, and practices that conform to the dogmatic status quo that serves as the foundation on top of which the new elimination aspirations are supposed to be built on, which might not be serving the desired purpose if taken unrevised.
土壤传播性蠕虫病（STHs）是一个公共卫生问题，需要立即采取行动，解决感染者的发病率问题，防止所有处于风险中的人感染，并打破受影响社区中贫困和疾病的恶性循环，结构贫困是这类传染病的主要决定因素。自 100 多年前洛克菲勒倡议时代以来，该策略一直被视为需要社区范围的努力，而不仅仅是单纯的个体病例管理。世界卫生组织（WHO）及其地区办事处作为各国政府认可的管理机构，一直是提出实现该问题管理目标和终点的实际执行措施的领导者。通过设定一系列可以启动、监测和衡量的活动，这些行动是在现有资源的基础上制定的，因为这个公共卫生问题必须立即启动，资源是当时可用的，而不是出现在愿望清单上的。在实现千年发展目标（MDGs）的政策制定方面取得了相当大的进展，随后通过世界卫生组织主导的控制被忽视的热带病（NTDs）行动，又制定了可持续发展目标（SDGs）。最初的目标是控制发病率，如果得到持续支持，并通过建模和小规模研究的数据证实经验事实，已经有关于消除 STH 的讨论和建议。这些评论的目的是描述和质疑目前被接受的概念、理论和实践的实例，这些实例符合作为新的消除愿望应该建立的基础的教条现状，如果不进行修订，可能无法达到预期的目的。
