RESUMO
Until 1996-97, when Yaws Eradication Programme (YEP) in India was launched, there were three initiatives to assess/control the yaws disease in the country. YEP was initially started as pilot study in Koraput district, Orissa and later on extended to ten states covering 49 districts. The first goal has been to get the disease eliminated from the country with ultimate goal being its eradication. Strategies for YEP are active case detection and treatment including contacts and targeted IEC. The number of reported cases reduced from 735 in 1997 to "Zero Case" in 2004 from entire country. The recent Third Independent Appraisal of YEP could not confirm any new yaws case. However, before declaring the elimination (meaning no new early infectious case), there is need to make a thorough search in the affected areas. Future activities under the programme includes sero- surveillance among under-five children to demonstrate cessation of yaws transmission.
Assuntos
Bouba/prevenção & controle , Adolescente , Criança , Pré-Escolar , Feminino , Humanos , Índia/epidemiologia , Lactente , Masculino , Bouba/epidemiologia , Bouba/fisiopatologiaRESUMO
Treponemal diseases comprise venereal syphilis (Treponema pallidum subsp. pallidum) and the endemic (non-venereal) treponematoses, i.e. yaws (T. pallidum subsp. pertenue), endemic syphilis (T. pallidum subsp. endemicum) and pinta (T. carateum). Treponemal diseases are distinguished on the basis of epidemiological characteristics and clinical manifestations. They are at present indistinguishable by morphological, immunological or serological methods. Several minor genetic differences have been identified among the subspecies. The endemic treponematoses have not yet been eliminated and are currently thought to affect at least 2.5 million persons. Renewed action towards the elimination of these diseases should be undertaken.
