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[海地被忽视疾病的知识更新:曼氏丝虫病、潜蚤病、麻风病和炭疽]

[Update of knowledge on Neglected Diseases in Haiti: Mansonelliasis, Tungiasis, Leprosy, and Anthrax].

作者信息

Raccurt C P, Boncy J, Jean-Baptiste R M A, Honoré R, Andrecy L L, Dély P, Mondésir L, Chatelier M, Existe A, Adrien P

机构信息

Département des maladies infectieuses, Faculté des sciences de la santé, Université Quisqueya, 218 rue Jean-Paul II, Haut-Turgeau, Port-au-Prince, Haïti.

Laboratoire national de santé publique, 52 angle Delmas 33 et rue Charbonnières, Port-au-Prince, Haïti.

出版信息

Bull Soc Pathol Exot. 2018;111(1):17-23. doi: 10.3166/bspe-2018-0005.

Abstract

Haiti, like most limited-resources countries in the world, faces numerous neglected infectious diseases. They represent a real public health issue with lethal consequences especially in children. We are reviewing here the available literature on four neglected infectious diseases, mansonelliasis, tungiasis, leprosy and anthrax. Filariasis, due to , has been totally neglected since its discovery in 1920 in Haiti; it persists in coastal homes with a high prevalence in adults when an effective treatment is available. The skin lesions caused by have existed since the pre-Columbian period in Haiti. They persist in the most retreated and hard-to-reach areas where the population lives in precarious conditions and in extreme poverty. New available research data show the importance of the problem with very high prevalence rates in some rural communities far away from any healthcare center. Cases of leprosy are recently reemerging as no monitoring program has been in place since 2004. Finally, anthrax is still endemic; small epidemics resurfacing periodically in families in rural areas. Screening of people for these diseases and managing the cases are necessary to improve health and reduce morbidity and mortality in Haiti.

摘要

与世界上大多数资源有限的国家一样,海地面临着众多被忽视的传染病。这些疾病构成了一个切实的公共卫生问题,会带来致命后果,对儿童而言尤其如此。在此,我们回顾了关于四种被忽视传染病——曼氏丝虫病、潜蚤病、麻风病和炭疽病——的现有文献。由于[此处信息缺失],丝虫病自1920年在海地被发现以来就完全被忽视了;尽管有有效的治疗方法,但在沿海地区的家庭中,这种病在成年人中仍然高发。由[此处信息缺失]引起的皮肤病变自海地的前哥伦布时期就已存在。它们在人口生活条件不稳定且极度贫困的最偏远、最难到达的地区持续存在。新获得的研究数据表明,在一些远离任何医疗中心的农村社区,该问题的患病率极高,凸显了其重要性。自2004年以来,由于没有监测项目,麻风病病例最近又重新出现。最后,炭疽病仍然是地方病;农村地区的家庭中不时会出现小规模疫情。对这些疾病进行人群筛查和病例管理,对于改善海地的健康状况、降低发病率和死亡率是必要的。

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