de Coster T, Van Damme I, Baauw J, Gabriël S
Ghent University, Faculty of Veterinary Medicine, Department of Veterinary Public Health and Food Safety, Salisburylaan 133, 9820 Merelbeke, Belgium.
Food Waterborne Parasitol. 2018 Nov 13;13:e00030. doi: 10.1016/j.fawpar.2018.e00030. eCollection 2018 Dec.
The combined health and economic impact of urges for control and, if possible, elimination of this neglected parasitic zoonosis. Up till now there is still no consensus about the most cost-effective and feasible approaches for control. The objective of this systematic review is to identify and summarize the evidence in English scientific literature on the control and elimination of . since 2014, based on the rapidly evolving field of evidence on control and elimination of . . The search resulted in the identification of 458 records of which 31 were included, covering 13 field trials and 18 articles containing experimental data, mathematical models, and other information directly relevant the control of . . Recent field studies confirm that combinations of interventions or multiple rounds are more successful in obtaining rapid reductions in transmission and parasite occurrence, with the quick impact of the combination of human and pig treatment confirmed in a South Asian and Peruvian context. Moreover, elimination of transmission through a one-year intensive program, combining human and pig treatment/vaccination was described in a Peruvian study. Recent studies also provide more data on the positive impact of specific health education, as well as newly developed electronic educational tools, providing opportunities for area specific community-engaged participatory interventions. Once control has been achieved, monitoring of migration of both potentially infected people and pigs from outside the control area is important for sustained disease control.
控制并尽可能消除这种被忽视的寄生虫人畜共患病所带来的综合健康和经济影响迫在眉睫。到目前为止，对于最具成本效益和可行性的控制方法仍未达成共识。本系统综述的目的是识别并总结自2014年以来英文科学文献中关于控制和消除……的证据，基于控制和消除……领域迅速发展的证据。检索结果共识别出458条记录，其中31条被纳入，涵盖13项现场试验以及18篇包含实验数据、数学模型和与……控制直接相关的其他信息的文章。最近的现场研究证实，联合干预措施或多轮干预在迅速降低传播率和寄生虫感染率方面更为成功，在南亚和秘鲁的背景下，对人和猪进行联合治疗能迅速产生效果得到了证实。此外，秘鲁的一项研究描述了通过为期一年的强化项目，结合人和猪的治疗/疫苗接种来消除传播。最近的研究还提供了更多关于特定健康教育以及新开发的电子教育工具的积极影响的数据，为针对特定地区的社区参与式干预提供了机会。一旦实现控制，监测潜在感染人和猪从控制区外的迁入情况对于持续控制疾病很重要。
