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非洲的雅司病:过去、现在与未来

Yaws in Africa: Past, Present and Future.

作者信息

Vicar Ezekiel K, Simpson Shirley V, Mensah Gloria I, Addo Kennedy K, Donkor Eric S

机构信息

Department of Clinical Microbiology, University for Development Studies, Tamale P.O. Box TL 1350, Ghana.

Department of Medical Microbiology, University of Ghana Medical School, Accra P.O. Box GP 4236, Ghana.

出版信息

Diseases. 2025 Jan 14;13(1):14. doi: 10.3390/diseases13010014.

DOI:10.3390/diseases13010014
PMID:39851478
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11764072/
Abstract

Yaws is an infectious, neglected tropical disease that affects the skin of many children and adolescents who live in poor, rural, low-income communities in humid, tropical areas of Africa, Southeast Asia, and the Pacific Islands. Yaws is currently endemic in at least 15 countries, but adequate surveillance data are lacking. In line with the WHO's effort to improve early detection, diagnosis, and proper management leading to the eventual eradication of yaws, this article reviews the existing literature on yaws in Africa to highlight the epidemiological pattern, genetic variability, diagnosis modalities, treatment, and control strategies, the challenges and prospects for yaws eradication. : We searched PubMed and Scopus databases to identify published data in line with the review objectives. One hundred and eighty-eight peer-reviewed articles were identified by PubMed and Scopus, out of which thirty were eligible. The studies covered 11 African countries, with the reported prevalence ranging from 0.50% to 43.0%. : There is a great prospect for eradication if countries capitalize on the availability of simple, inexpensive, and well-tolerated oral treatment that has proven effective, validated point-of-care diagnostic tests and new molecular tests. Countries should embark on integrated disease control efforts to increase sustainability and improve the quality of life for people living with this NTD in poor communities.

摘要

雅司病是一种传染性被忽视热带病,影响着许多生活在非洲、东南亚和太平洋岛屿潮湿热带地区贫困农村低收入社区的儿童和青少年的皮肤。雅司病目前在至少15个国家呈地方性流行,但缺乏充分的监测数据。为配合世界卫生组织改善早期发现、诊断和妥善管理以最终根除雅司病的努力,本文回顾了非洲关于雅司病的现有文献,以突出其流行病学模式、基因变异性、诊断方式、治疗和控制策略,以及根除雅司病的挑战和前景。我们检索了PubMed和Scopus数据库,以识别符合综述目标的已发表数据。PubMed和Scopus识别出188篇同行评议文章,其中30篇符合条件。这些研究覆盖了11个非洲国家,报告的患病率从0.50%到43.0%不等。如果各国利用已证明有效的简单、廉价且耐受性良好的口服治疗方法、经过验证的即时诊断检测和新的分子检测方法,根除雅司病有很大的前景。各国应开展综合疾病控制工作,以提高可持续性,并改善贫困社区中患有这种被忽视热带病的人们的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1646/11764072/db32ed808bc6/diseases-13-00014-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1646/11764072/db32ed808bc6/diseases-13-00014-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1646/11764072/db32ed808bc6/diseases-13-00014-g001.jpg

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本文引用的文献

1
An integrated active case detection and management of skin NTDs in yaws endemic health districts in Cameroon, Côte d'Ivoire and Ghana.在喀麦隆、科特迪瓦和加纳的雅司病流行卫生区开展综合性主动病例发现和皮肤性 NTD 管理。
PLoS Negl Trop Dis. 2024 Oct 4;18(10):e0011790. doi: 10.1371/journal.pntd.0011790. eCollection 2024 Oct.
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Prevalence of yaws and syphilis in the Ashanti region of Ghana and occurrence of H. ducreyi, herpes simplex virus 1 and herpes simplex virus 2 in skin lesions associated with treponematoses.加纳阿散蒂地区雅司病和梅毒的流行情况以及与密螺旋体病相关的皮肤损伤中杜克雷嗜血杆菌、单纯疱疹病毒 1 和单纯疱疹病毒 2 的发生情况。
PLoS One. 2024 May 22;19(5):e0295088. doi: 10.1371/journal.pone.0295088. eCollection 2024.
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Is there still yaws in Nigeria? Active case search in endemic areas of southern Nigeria.
在尼日利亚还有雅司病吗?在尼日利亚南部流行地区进行活动性病例搜索。
PLoS Negl Trop Dis. 2023 Nov 20;17(11):e0011753. doi: 10.1371/journal.pntd.0011753. eCollection 2023 Nov.
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Prospecting for yaws in the Mbaïki Health District in the Central African Republic.在中非共和国姆拜基地区开展雅司病监测。
Pan Afr Med J. 2023 Jul 12;45:121. doi: 10.11604/pamj.2023.45.121.34060. eCollection 2023.
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Endemic infectious cutaneous ulcers syndrome in the Oti Region of Ghana: Study of cutaneous leishmaniasis, yaws and Haemophilus ducreyi cutaneous ulcers.加纳奥蒂地区地方性感染性皮肤溃疡综合征:皮肤利什曼病、雅司病和杜克雷嗜血杆菌皮肤溃疡的研究。
PLoS One. 2023 Sep 27;18(9):e0292034. doi: 10.1371/journal.pone.0292034. eCollection 2023.
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Prevalence of skin Neglected Tropical Diseases and superficial fungal infections in two peri-urban schools and one rural community setting in Togo.多哥两个城郊学校和一个农村社区中被忽视的热带皮肤病和浅部真菌感染的流行情况。
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Yaws in Pygmy and Bantu children inhabiting the rural zones of Central Africa.居住在中非农村地区的俾格米族和班图族儿童中的雅司病。
Postepy Dermatol Alergol. 2022 Oct;39(5):887-892. doi: 10.5114/ada.2021.109604. Epub 2021 Oct 4.
8
Eradicating yaws in Africa: challenges and progress.在非洲根除雅司病:挑战与进展
Lancet Microbe. 2022 Apr;3(4):e250. doi: 10.1016/S2666-5247(22)00069-6.
9
Epidemiologic and Genomic Reidentification of Yaws, Liberia.流行病学和基因组再鉴定雅司病,利比里亚。
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An integrated assessment of leprosy, Buruli ulcer, and yaws around the irrigated perimeters of Bagré and Kompienga in Burkina Faso.对布基纳法索巴格雷和孔皮恩加灌溉区周边麻风病、布鲁里溃疡和雅司病的综合评估。
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