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Parasitic diseases and urban development.

K E Mott1, P Desjeux, A Moncayo

  • 1Division of Control of Tropical Diseases, World Health Organization, Geneva, Switzerland.

Bulletin of the World Health Organization
|January 1, 1990
PubMed
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Parasitic diseases like Chagas disease are shifting to urban areas due to migration and changing environments. New control strategies are crucial for urban public health.

Area of Science:

  • * Public Health
  • * Epidemiology
  • * Infectious Diseases

Background:

  • * Parasitic disease distribution is changing in urban and peri-urban areas of endemic countries due to development.
  • * Migration patterns and urbanization are altering disease transmission dynamics.

Purpose of the Study:

  • * To analyze the epidemiological shifts of parasitic diseases in urban settings.
  • * To discuss various scenarios of disease spread involving Chagas disease, lymphatic filariasis, leishmaniasis, and schistosomiasis.
  • * To highlight the impact of rural-to-urban migration on disease transmission and control.

Main Methods:

  • * Review and synthesis of epidemiological data and scenarios related to parasitic diseases in urban environments.
  • * Analysis of factors contributing to disease transmission, including human migration and vector presence.

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  • * Examination of the influence of cultural and social habits on disease risk in urban populations.

    • Main Results:

    • * Six distinct scenarios illustrate the complex spread of parasitic diseases in urban and peri-urban settings.
    • * Rural migrants adopting traditional habits in urban areas increases disease transmission risk.
    • * Urbanization of natural foci and vector encroachment into urban areas are significant concerns.

    Conclusions:

    • * Parasitic diseases pose a growing challenge to urban public health services.
    • * Existing control strategies may be inadequate for urban transmission dynamics.
    • * Development and implementation of tailored urban control strategies are urgently needed.