粗的态度:社会文化,变化的景观,以及对被低估的疾病的看法变化
Carl Grundy-Warr1, Ross H Andrews2,3, Narong Khuntikeo4
1Department of Geography, National University of Singapore, Singapore, Singapore. geocerg@nus.edu.sg.
概括
了解公河地区的原始食品态度对于预防像Opisthorchis viverrini (O. viverrini) 等寄生虫感染至关重要. 需要跨学科的方法来解决影响健康的环境和社会因素.
科学领域:
- 公共卫生 公共卫生
- 寄生虫学的寄生虫学
- 环境科学 环境科学
背景情况:
- 在大公河地区,对食用生,部分煮熟或发酵的淡水鱼的原始态度普遍存在.
- 这种做法增加了寄生虫感染的风险,特别是O. viverrini (O. viverrini).
- 现有的研究往往孤立国家背景,忽视跨境复杂性.
研究的目的:
- 审查大公河地区的原始态度及其流行病学影响.
- 探索人为景观转型和发展影响对寄生虫生命周期的影响.
- 检查公共卫生计划和教育干预措施在改变对O. viverrini和胆管癌的看法方面的作用.
主要方法:
- 对公河地区的原始态度和寄生虫感染现有文献的审查.
- 对影响疾病动态的跨境生态和社会经济因素的分析.
- 检查公共卫生干预措施及其对疾病感知的影响.
主要成果:
- 人类的流动性,景观的变化和经济发展项目 (水电大,水产养殖) 显著影响寄生虫的生命周期和人类的行为.
- 跨境生态变化和人类迁徙使疾病控制工作复杂化.
- 公共卫生计划开始改变人们对O. viverrini及其相关癌症的看法.
结论:
- 综合科学和社会科学策略的跨学科方法对于有效的卫生干预措施至关重要.
- 需要进一步的研究,以解决有关人类对生活方式,生计和疾病动态的影响的知识差距.
- 建议通过CASCAP模型示范的多方面健康干预措施,用于管理O. viverrini和相关疾病.
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