非洲杆菌病:评估传播风险和干预有效性的指标框架
Hong-Mei Li1,2,3,4, Nicholas Midzi5, Masceline Jenipher Mutsaka-Makuvaza5,6
1National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), Shanghai 200025, China.
Tropical medicine and infectious disease
|November 26, 2024
概括
顺病的传播受到水暴露,环境卫生和卫生 (WASH) 的影响. 这项研究优先考虑了控制津巴布韦Schistosoma mansoni和S. haematobium的关键因素和干预措施.
科学领域:
- 寄生虫学的寄生虫学
- 公共卫生 公共卫生
- 环境健康 环境健康
背景情况:
- 杆菌病是一种复杂的寄生虫疾病,通过牛传播,受到生物,环境,行为和社会经济因素的影响.
- 有效的控制需要了解传播动态,并优先考虑针对特定物种的干预措施,如Schistosoma mansoni和S. haematobium.
研究的目的:
- 系统地调查影响杆菌病传播的指标的重要性和可行性.
- 优先考虑对津巴布韦的Schistosoma mansoni和S. haematobium感染进行干预措施.
主要方法:
- 用文献综述和德尔菲方法小组讨论来设计一个框架问卷.
- 在两轮德尔菲咨询中,有27名杆菌专家对指标的重要性和可行性进行了评价.
- 德尔菲法评估了指标权重,实现了高的平均权威系数 (0.88).
主要成果:
- 达成共识框架,包括2个主要指标,6个次要指标和39个三级指标.
- 影响传播的关键因素:暴露在危险水中,获得安全饮用水,卫生设施,以及露天排便造成的水污染.
- 优先干预措施:改善诊断,健康教育,预防性化疗,国家控制计划和水,环境卫生和卫生 (WASH) 战略.
结论:
- 虽然已知传染因子,但它们的详细重要性排名有助于控制工作.
- 确定指标和干预措施的优先级可以优化对杆菌病控制的资源配置.
- 这项研究为津巴布韦的向istosomiasis控制提供了一个框架,重点关注S. mansoni和S. haematobium.
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