Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 221
Filtrar
1.
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi ; 32(3): 219-221, 2020 May 11.
Artigo em Chinês | MEDLINE | ID: mdl-32468780

RESUMO

Hunan Province occupies a particular position in the history of the national schistosomiasis control programme of China. The province is hyperendemic for schistosomiasis, and achieves great successes and many experiences at various stages of the national schistosomiasis control programme of China. Recently, remarkable schistosomiasis control benefits have been achieved in Hunan Province because of the strong political will, increased financial support, intensification of the integrated control strategy and sustainable implementation of the four projects, including management of livestock and humans as sources of Schistosoma japonicum infections, snail control and capability building of schistosomiasis control institutions. In addition, a series of schistosomiasis control models have been created from the schistosomiasis control programme, and the concept of control-research combination and research serving for field control has been achieved, which provides the "Hunan experience" for the natonal schistosomiasis control programme of China. Based on the government-led multisectoralcollaboration principle, further actions are required with scientific control and joint prevention and control, implementation of the integrated strategy with emphases on controlling sources of S. japonicum infections and snails, adequate financial support, improved professional capability building, and innovative medical treatment-prevention combination patterns, so as to achieve the goal of schistosomiasis elimination in Hunan Province as soon as possible.


Assuntos
Erradicação de Doenças , Esquistossomose Japônica , Animais , China/epidemiologia , Erradicação de Doenças/tendências , Humanos , Lagos , Modelos Teóricos , Esquistossomose Japônica/prevenção & controle , Caramujos/parasitologia
2.
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi ; 32(3): 225-229, 2020 Apr 29.
Artigo em Chinês | MEDLINE | ID: mdl-32468782

RESUMO

This paper describes the current epidemic characteristics and endemic status of schistosomiasis, analyzes the main challenges of schistosomiasis control and proposes the emphasis and interventions for future schistosomiasis control activities in Hunan Province, so as to provide insights into the elimination of schistosomiasis in Hunan Province.


Assuntos
Esquistossomose , China/epidemiologia , Erradicação de Doenças/tendências , Humanos , Esquistossomose/epidemiologia , Esquistossomose/prevenção & controle
5.
Artigo em Chinês | MEDLINE | ID: mdl-32185920

RESUMO

Following the concerted efforts for nearly 70 years, great successes have been achieved in the national schistosomiasis control programme in China. Currently, the national schistosomiasis control programme in China is facing the challenges to solve the problems during the"final mile"stage towards schistosomiasis elimination, and contribute Chinese experiences, Chinese strategy and Chinese wisdom to the global schistosomiasis control programmes, so as to facilitate the transformation of the joint efforts in the Belt and Road Initiative to a high-quality development, thereby well supporting the activities on global health security. This paper analyzes the current global status of schistosomiasis and the challenges of the global schistosomiasis control programmes, describes the basis for the cooperation on schistosomiasis control among the countries along the Belt and Road Initiative, illustrates the challenges for translation of Chinese experiences and techniques in schistosomiasis control to other diseaseendemic countries, and proposes the patterns and prospects of the South-South cooperation on schistosomiasis control under the Belt and Road Initiative.


Assuntos
Erradicação de Doenças/estatística & dados numéricos , Esquistossomose , China , Erradicação de Doenças/tendências , Saúde Global , Humanos , Programas Nacionais de Saúde , Esquistossomose/prevenção & controle
6.
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi ; 31(6): 573-575, 2020 Jan 15.
Artigo em Chinês | MEDLINE | ID: mdl-32064797

RESUMO

Schistosomiasis was once hyper-endemic in Jiangsu Province. During the past seven decades, the professionals working in schistosomiasis control from Jiangsu Province insisted on scientific and precision control all the time, created a series of replicable and generalizable "Jiangsu experiences". These practices have developed a number of tools and approaches that have been employed in schistosomiasis control programs in main endemic foci of China. More importantly, the successful experiences from national schistosomiasis control programs of China have been firstly transferred to Africa by professionals from Jiangsu Province, and remarkable achievements have been obtained for the control of schistosomiasis haematobia in Zanzibar.


Assuntos
Erradicação de Doenças , Invenções , Esquistossomose Urinária , China , Erradicação de Doenças/tendências , Humanos , Invenções/tendências , Esquistossomose Urinária/prevenção & controle
7.
Acta Trop ; 201: 105214, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31600519

RESUMO

Human hookworm, a soil-transmitted helminth (STH) infection caused by either Necator americanus or Anclystoma duodenale, is a major cause of morbidity globally and predominantly affects the world's poorest populations. Transmitted primarily by larval invasion of exposed skin, the adults inhabit the host small intestine, where they consume host blood. The resultant chronic iron deficiency anemia can lead to stunted growth and cognitive deficits in children, reduced work capacity in adults, and a variety of pregnancy complications. Historically, successful STH elimination has only been achieved in regions with concomitant significant economic growth. Since 2001, control of the STHs has been attempted via single-dose mass deworming of at-risk school-aged and preschool-aged children within STH-endemic countries, with the goal of morbidity reduction. Research questioning this strategy has grown in recent years, and current studies are evaluating the effectiveness of novel deworming strategies, including multidrug regimens and expansion of deworming to entire communities. While footwear campaigns may be associated with reduced odds of hookworm infection, the evidence supporting the impact of water, sanitation, and hygiene (WASH) interventions upon hookworm is mixed. Progress towards a human hookworm vaccine continues, with promising results from recent Phase 1 trials and several others ongoing. Integrated STH control programs, which combine mass deworming with WASH interventions, are relatively unstudied but may be a promising advancement. Whether interruption of STH transmission can be achieved apart from significant economic growth remains unanswered, but likely the implementation of intensive, integrated control programs will be necessary to achieve that goal.


Assuntos
Erradicação de Doenças/métodos , Erradicação de Doenças/tendências , Helmintíase/prevenção & controle , Infecções por Uncinaria/prevenção & controle , Saneamento/métodos , Animais , Previsões , Helmintíase/epidemiologia , Infecções por Uncinaria/epidemiologia , Humanos
9.
PLoS One ; 14(12): e0226513, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31841530

RESUMO

INTRODUCTION: In the WHO European Region, endemic transmission of measles and rubella had been interrupted by 37 and 42 of the 53 member states (MSs), respectively, by 2018. Sixteen MSs are still endemic for measles, 11 for rubella and nine for both diseases, the latter including Italy. Elimination is documented by each country's National Verification Committee (NVC) through an annual status update (ASU). OBJECTIVE: By analysing data used to produce the ASUs, we aimed to describe the advances made by Italy towards elimination of measles and rubella. Moreover, we propose a set of major interventions that could facilitate the elimination process. METHODS: A total of 28 indicators were identified within the six core sections of the ASU form and these were evaluated for the period 2013-2018. These indicators relate to the incidence of measles/rubella; epidemiological investigation of cases; investigation of outbreaks; performance of the surveillance system; population immunity levels; and implementation of supplemental immunization activities (SIAs). RESULTS: From 2013 to 2018, epidemiological and laboratory analyses of measles cases in Italy improved substantially, allowing timely investigation in 2017 and 2018 of most outbreak and sporadic cases and identification of the majority of genotypic variants. Moreover, since 2017, vaccination coverage has increased significantly. Despite these improvements, several areas of concern emerged, prompting the following recommendations: i) improve outbreak monitoring; ii) strengthen the MoRoNet network; iii) increase the number of SIAs; iv) reinforce vaccination services; v) maintain regional monitoring; vi) design effective communication strategies; vii) foster the role of general practitioners and family paediatricians. CONCLUSIONS: The review of national ASUs is a crucial step to provide the NVC with useful insights into the elimination process and to guide the development of targeted interventions. Against this background, the seven recommendations proposed by the NVC have been shared with the Italian Ministry of Health and the Technical Advisory Group on measles and rubella elimination and have been incorporated into the new Italian Elimination Plan 2019-2023 as a technical aid to facilitate the achievement of disease elimination goals.


Assuntos
Erradicação de Doenças/tendências , Sarampo/prevenção & controle , Rubéola (Sarampo Alemão)/prevenção & controle , Adolescente , Adulto , Criança , Pré-Escolar , Erradicação de Doenças/métodos , Erradicação de Doenças/organização & administração , Surtos de Doenças/prevenção & controle , Feminino , Humanos , Incidência , Lactente , Recém-Nascido , Itália/epidemiologia , Masculino , Sarampo/epidemiologia , Vacina contra Sarampo/uso terapêutico , Pessoa de Meia-Idade , Vigilância da População , Gravidez , Indicadores de Qualidade em Assistência à Saúde , Rubéola (Sarampo Alemão)/epidemiologia , Vacinação/métodos , Vacinação/tendências , Cobertura Vacinal/métodos , Cobertura Vacinal/tendências , Organização Mundial da Saúde , Adulto Jovem
11.
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi ; 31(5): 522-524, 2019 Aug 09.
Artigo em Chinês | MEDLINE | ID: mdl-31713384

RESUMO

OBJECTIVE: To understand the strategy of schistosomiasis elimination and its effects in Jinhu County, Jiangsu Province. METHODS: The data of schistosomiasis control in Jinhu County at different stages from 1970 to 2017 were collected and analyzed. RESULTS: From 1970 to 2017, there were three stages of schistosomiasis control, including transmission control, transmission interruption, and monitoring and elimination stages in Jinhu County. The main measures included Oncomelania hupensis snail control, infectious source control, and health education. A total of area of 290 691.78 hm2 was detected in Jinhu County, and the area with snails was 3 420.98 hm2. There were 8 729.37 hm2 area with snails was controlled. Since 2014, no O. hupensis snails were found. A total of 525 377 person-times were examined for schistosomiasis, with 2 815 schistosomiasis patients identified, and 2 844 person-times were treated by chemotherapy. In addition, 977 cases received the expand chemotherapy. Since 1990, no local schistosome-infected persons were found. In 2017, the awareness rate of schistosomiasis control knowledge and the correct rate of health behavior were increased by 54.59% and 14.23% respectively compared with those in 1992. CONCLUSIONS: The comprehensive schistosomiasis control measures implemented in Jinhu County at different periods have achieved remarkable outputs and accelerated the schistosomiasis elimination process. However, the precise control measures should be implemented in the future to consolidate the prevention and control achievements.


Assuntos
Erradicação de Doenças , Esquistossomose , Animais , Anti-Helmínticos/uso terapêutico , Conscientização , China , Erradicação de Doenças/métodos , Erradicação de Doenças/estatística & dados numéricos , Erradicação de Doenças/tendências , Comportamentos Relacionados com a Saúde , Humanos , Schistosoma/fisiologia , Esquistossomose/tratamento farmacológico , Esquistossomose/prevenção & controle , Caramujos/fisiologia
12.
Rev Sci Tech ; 38(1): 199-212, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-31564730

RESUMO

Rabies is a fatal viral disease that causes an estimated 59,000 human deaths each year. The majority of these deaths occur in developing countries in Asia. Canine rabies is endemic to Vietnam, which is, however, moving towards the disease's elimination. Many countries, such as Vietnam, have invested tremendous resources in controlling rabies, highlighting the goal of regional and global elimination of this neglected disease. In Vietnam, rabies is recognised as one of five high-priority, zoonotic diseases by the Ministry of Health and the Ministry of Agriculture and Rural Development. Investment by the government and by international partners for rabies prevention and control has played a substantial role in reducing human rabies deaths from 404 cases in 1992 to 74 cases in 2017. The catalyst for this effort was the Prime Minister's creation of the National Rabies Program in 1996, which led to increased support and resources for rabies prevention and control. Interventions carried out since then include the expansion of post-exposure prophylaxis centres throughout the country, the introduction or revision of key legislation and guidelines, and improved multisectoral One Health collaboration. In addition, support from international partners, such as the World Organisation for Animal Health (OIE), the World Health Organization (WHO), the Food and Agriculture Organization of the United Nations (FAO), and the Centers for Disease Control and Prevention (CDC), has helped to increase awareness, manage dog populations more effectively, and improve Vietnam's surveillance and diagnostic capabilities. To pursue the goal of eliminating dog-mediated rabies in Vietnam, political commitment is crucial. Resources must be made available to enforce the regulations and guidelines that will enable Vietnam to achieve greater canine rabies vaccination coverage. In this paper, the authors provide an overview of the animal and human health systems in Vietnam, as well as past, current and future directions of rabies prevention and control.


Assuntos
Erradicação de Doenças , Doenças do Cão , Raiva , Animais , Erradicação de Doenças/tendências , Doenças do Cão/epidemiologia , Doenças do Cão/prevenção & controle , Cães , Humanos , Raiva/epidemiologia , Raiva/prevenção & controle , Vietnã/epidemiologia , Zoonoses/epidemiologia , Zoonoses/prevenção & controle
16.
Adv Parasitol ; 105: 125-132, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31530393

RESUMO

Schistosomiasis, helminthic zoonoses and NTDs constitute a considerable majority of the diseases of poverty in the world. The RNAS+ targeted zoonoses are not only problems to human and animal health, but also cause poverty in 1 billion poor livestock keepers as well as result in 2.3 billion cases of human illness and 1.7 million human deaths a year. The gaps in research of those targeted zoonoses are urgently addressed by identifying the research priority, fulfilled by improving the multisectoral cooperation and strengthening the interventions in the control programme.


Assuntos
Erradicação de Doenças/tendências , Helmintíase/prevenção & controle , Zoonoses/prevenção & controle , Animais , Humanos , Serviços Preventivos de Saúde/normas , Serviços Preventivos de Saúde/tendências
17.
Hepatol Int ; 13(4): 403-406, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31273617

RESUMO

The rapidity of the increase in the global burden of liver disease covered in this review with estimates worldwide of 2 million deaths from cirrhosis and with no signs of effective controls being introduced for two of the main causes, namely, excess alcohol consumption and obesity, is of great concern. The 25% prevalence of non-alcoholic fatty liver disease in many population groups and the recent description of primary hepatocellular cancer (HCC) in obese subjects without underlying severe fibrosis/cirrhosis also raises many questions. In addition, covered in this review are more encouraging areas including techniques for machine preservation of donor organs enabling previously marginal organs to be used for transplantation. Greater knowledge of gut microbiome and gut bacterial translocation is defining the inflammatory reaction underlying multi-organ failure in decompensated cirrhosis. The gut microbiome also influences the response of HCC patients to the new check-point inhibitor drugs which restore immunological responses of its host.


Assuntos
Hepatopatias/mortalidade , Carcinoma Hepatocelular/mortalidade , Erradicação de Doenças/tendências , Previsões , Saúde Global , Hepatite C Crônica/prevenção & controle , Humanos , Incidência , Neoplasias Hepáticas/mortalidade , Hepatopatia Gordurosa não Alcoólica/mortalidade
18.
Swiss Med Wkly ; 149: w20102, 2019 Jun 03.
Artigo em Inglês | MEDLINE | ID: mdl-31185128

RESUMO

Switzerland is aiming to eliminate measles, in line with the objectives of the World Health Organization (WHO). Physicians, laboratories and public health authorities have made great efforts to reach this goal. A continually increasing measles vaccination coverage and other preventive measures have made an impact: no major measles outbreak has been recorded since 2011. In order to evaluate progress towards elimination, measles epidemiology of a previous epidemic period (2007–2011) was compared with the current post-epidemic period (2012–July 2018) by analysis of data from the mandatory notification system. A decrease of 94% in the average annual incidence rate occurred between the two periods (from 133 to 9 cases per million inhabitants). This was accompanied by significant changes in the epidemiology that are expected and characteristic of countries with limited circulation of the measles virus. After analysing the performance of the Swiss surveillance system and the data provided, the WHO concluded that endemic measles transmission was interrupted in Switzerland in 2016 and 2017.


Assuntos
Erradicação de Doenças/tendências , Epidemias/estatística & dados numéricos , Sarampo/epidemiologia , Vigilância da População , Vacinação/estatística & dados numéricos , Adolescente , Adulto , Criança , Pré-Escolar , Notificação de Doenças , Surtos de Doenças/prevenção & controle , Feminino , Humanos , Incidência , Lactente , Masculino , Sarampo/prevenção & controle , Vacina contra Sarampo/uso terapêutico , Suíça/epidemiologia , Adulto Jovem
19.
PLoS Med ; 16(4): e1002795, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-31039150

RESUMO

This month in PLOS Medicine we launched a Special Issue on New Tools and Strategies for Tuberculosis Diagnosis, Care, and Elimination. In this issue's Editorial, the Guest Editors Claudia Denkinger, Richard Chaisson, and Mark Hatherill highlight some of the research that will publish and how these studies focusing on discovery, clinical trials and implementation research collectively add to the prospects for reaching the EndTB targets of the WHO by 2035.


Assuntos
Erradicação de Doenças , Determinação de Necessidades de Cuidados de Saúde , Tuberculose/prevenção & controle , Erradicação de Doenças/métodos , Erradicação de Doenças/organização & administração , Erradicação de Doenças/tendências , Necessidades e Demandas de Serviços de Saúde , Humanos , Controle de Infecções/métodos , Controle de Infecções/organização & administração , Controle de Infecções/tendências , Invenções/tendências , Terapias em Estudo/métodos , Terapias em Estudo/tendências , Tuberculose/epidemiologia
20.
J Vector Borne Dis ; 56(1): 32-40, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31070163

RESUMO

The World Malaria Report 2018 published by the World Health Organization highlights that no significant progress in reducing global malaria cases was achieved for the period 2015-2017. India carries 4% of the global malaria burden and contributes 87% of the total malaria cases in South-East Asia. India is in malaria elimination mode, and set targets for malaria-free status by 2030. Diagnosis and treatment of asymptomatic falciparum malaria cases continues to be a challenge for health care providers. To overcome these hurdles innovative solutions along with the existing tools and strategies involving vector control, mass drug administration, disease surveillance hold the key to solve this gigantic health problem.


Assuntos
Erradicação de Doenças/métodos , Malária/prevenção & controle , Animais , Infecções Assintomáticas/epidemiologia , Erradicação de Doenças/tendências , Humanos , Índia/epidemiologia , Malária/tratamento farmacológico , Malária/epidemiologia , Malária Falciparum/epidemiologia , Malária Falciparum/prevenção & controle , Malária Vivax/epidemiologia , Malária Vivax/prevenção & controle , Administração Massiva de Medicamentos , Controle de Mosquitos , Plasmodium falciparum/efeitos dos fármacos , Plasmodium vivax/efeitos dos fármacos , Saúde Pública
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA