Schistosomiasis control in Senegal:results from community data analysis for optimizing preventive chemotherapy intervention with praziquantel  

作　　者：Boubacar Diop Khadime Sylla NDèye MBackéKane Oumou Kaltoum Boh Babacar Guèye Mady Ba Idrissa Talla Malang Mané Rose Monteil Boniface Kinvi Honorat Gustave Marie Zoure Jorge Cano Ortega Pauline Mwinzi Moussa Sacko Babacar Faye 

机构地区：[1]不详

出　　处：《Infectious Diseases of Poverty》2023年第6期101-102,共2页贫困所致传染病（英文）

摘　　要：Background Over the past two decades,preventive chemotherapy(PC)with praziquantel(PZQ)is the major strategy for controlling schistosomiasis in Senegal.The objective of this analysis was to update the endemicity of schistosomiasis at community level for better targeting mass treatment with PZQ in Senegal.Methods Demographic and epidemiological data from 1610 community health areas were analyzed using the schistosomiasis community data analysis tool of Expanded Special Project for Elimination of Neglected Tropical Diseases which developed by World Health Organization/Africa Ofce(WHO/AFRO).The tool uses a WHO/AFRO decision tree for areas without epidemiological data to determine whether mass treatment should be continued at community level.Descriptive analysis was performed.Results Overall,the endemicity of 1610 community health areas were updated based on the data from the district endemicity(33.5%)and the form of Join request for selected PC medicine(40.5%).Up to 282(17.5%)and 398(24.7%)of community health areas were classifed as moderate and high endemicity.41.1%of communities were non endemic.High endemicity was more important in Tambacounda,Saint Louis,Matam,Louga and Kedougou.A change in endemicity category was observed when data was disagregted from district level to community level.Implementation units classifed non endemic were more important at community level(n=666)compared to district level(n=324).Among 540 areas previously classifed high endemic at district level,392(72.6%)remained high prevalence category,while 92(17.0%)became moderate,43(8.0%)low and 13(2.4%)non-endemics at community level.Number of implementation units requiring PC was more important at district level(1286)compared to community level(944).Number of school aged children requiring treatment was also more important at district level compared to community level.Conclusions The analysis to disaggregate data from district level to community level using the WHO/AFRO schistosomiasis sub-district data optimization tool provide an update of sc

关 键 词：SCHISTOSOMIASIS Community data analysis ENDEMICITY PRAZIQUANTEL Senegal 

分 类 号：R532.21[医药卫生—内科学]