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  • Schistosomiasis Elimination: Lessons from the Past Guide the Future

    Author(s)
    Gray, Darren J
    McManus, Donald P
    Li, Yuesheng
    Williams, Gail M
    Bergquist, Robert
    Ross, Allen G
    Griffith University Author(s)
    Gray, Darren
    McManus, Don P.
    Li, Yuesheng
    Ross, Allen G.
    Year published
    2010
    Metadata
    Show full item record
    Abstract
    Schistosomiasis is a major neglected tropical disease, with more than 200 million people infected and close to 800 million at risk. The disease burden is estimated to exceed 70 million disability-adjusted life-years. The anthelmintic drug praziquantel is highly effective in killing adult schistosome worms, but it is unable to kill developing schistosomes and so does not prevent reinfection. As a result, current praziquantel-based control programmes in Asia and sub-Saharan Africa are not effective or sustainable in the long term. The control of neglected tropical diseases, including schistosomiasis, is a funding priority for ...
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    Schistosomiasis is a major neglected tropical disease, with more than 200 million people infected and close to 800 million at risk. The disease burden is estimated to exceed 70 million disability-adjusted life-years. The anthelmintic drug praziquantel is highly effective in killing adult schistosome worms, but it is unable to kill developing schistosomes and so does not prevent reinfection. As a result, current praziquantel-based control programmes in Asia and sub-Saharan Africa are not effective or sustainable in the long term. The control of neglected tropical diseases, including schistosomiasis, is a funding priority for several donor agencies, with over US$350 million committed until 2013. Here we put forward an argument that donor funds would be more effectively spent on the development of a multi-faceted, integrated control programme, which would have a greater and longer lasting effect on disease transmission than the current chemotherapy-based programmes. The development of a transmission-blocking vaccine is also of great importance. A multi-faceted integrated control programme that incorporates a vaccine, even if only partly effective, has the potential to eliminate schistosomiasis. This integrated-approach model has the potential to improve the health of a billion of the world's poorest people and its effect cannot be underestimated.
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    Journal Title
    The Lancet Infectious Diseases
    Volume
    10
    Issue
    10
    DOI
    https://doi.org/10.1016/S1473-3099(10)70099-2
    Subject
    Clinical Sciences
    Medical Microbiology
    Public Health and Health Services
    Publication URI
    http://hdl.handle.net/10072/34077
    Collection
    • Journal articles

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