Next Article in Journal / Special Issue
Treading the Path towards Genetic Control of Snail Resistance to Schistosome Infection
Previous Article in Journal
Long-Range Diagnosis of and Support for Skin Conditions in Field Settings
Previous Article in Special Issue
DNA Diagnostics for Schistosomiasis Control
Article Menu

Export Article

Open AccessReview
Trop. Med. Infect. Dis. 2018, 3(3), 85; https://doi.org/10.3390/tropicalmed3030085

When Should the Emphasis on Schistosomiasis Control Move to Elimination?

1
Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, GA 30329, USA
2
Center for Tropical and Emerging Global Diseases and Department of Microbiology, University of Georgia, Athens, GA 30602, USA
*
Author to whom correspondence should be addressed.
Received: 29 June 2018 / Revised: 4 August 2018 / Accepted: 10 August 2018 / Published: 15 August 2018
(This article belongs to the Special Issue Prospects for Schistosomiasis Elimination)
Full-Text   |   PDF [220 KB, uploaded 15 August 2018]

Abstract

The stated goal of the World Health Organization’s program on schistosomiasis is paraphrased as follows: to control morbidity and eliminate transmission where feasible. Switching from a goal of controlling morbidity to interrupting transmission may well be currently feasible in some countries in the Caribbean, some areas in South America, northern Africa, and selected endemic areas in sub-Saharan Africa where there have been improvements in sanitation and access to clean water. However, in most of sub-Saharan Africa, where programmatic interventions still consist solely of annual mass drug administration, such a switch in strategies remains premature. There is a continued need for operational research on how best to reduce transmission to a point where interruption of transmission may be achievable. The level of infection at which it is feasible to transition from control to elimination must also be defined. In parallel, there is also a need to develop and evaluate approaches for achieving and validating elimination. There are currently neither evidence-based methods nor tools for breaking transmission or verifying that it has been accomplished. The basis for these statements stems from numerous studies that will be reviewed and summarized in this article; many, but not all of which were undertaken as part of SCORE, the Schistosomiasis Consortium for Operational Research and Evaluation. View Full-Text
Keywords: schistosomiasis; control; elimination; Africa; operational research; goals; guidelines schistosomiasis; control; elimination; Africa; operational research; goals; guidelines
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
SciFeed

Share & Cite This Article

MDPI and ACS Style

Secor, W.E.; Colley, D.G. When Should the Emphasis on Schistosomiasis Control Move to Elimination? Trop. Med. Infect. Dis. 2018, 3, 85.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Trop. Med. Infect. Dis. EISSN 2414-6366 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top