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논문 기본 정보

자료유형
학술저널
저자정보
Godfrey M. Kaatano (National Institute for Medical Research) Julius E. Siza (National Institute for Medical Research) Joseph R. Mwanga (National Institute for Medical Research) Duk-Yong Min (Eulji University School of Medicine) Tai-Soon Yong (Yonsei University College of Medicine) Jong-Yil Chai (Seoul National University College of Medicine) Yunsuk Ko (Good Neighbors International, Tanzania Western Chapter) Su Young Chang (Good Neighbors International, Tanzania Western Chapter) Cyril M. Kullaya (Good Neighbors International, Tanzania Western Chapter) Han-Jong Rim (Korea University) John M. Changalucha (National Institute for Medical Research) Keeseon S. Eom (Chungbuk National University School of Medicine)
저널정보
대한기생충학열대의학회 Parasites, Hosts and Diseases The Korean Journal of Parasitology Vol.53 No.5
발행연도
2015.10
수록면
535 - 543 (9page)

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초록· 키워드

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Integrated control strategies are important for sustainable control of schistosomiasis and soil-transmitted helminthiasis, despite their challenges for their effective implementation. With the support of Good Neighbors International in collaboration with National Institute of Medical Research, Mwanza, Tanzania, integrated control applying mass drug administration (MDA), health education using PHAST, and improved safe water supply has been implemented on Kome Island over 5 years for controlling schistosomiasis and soil-transmitted helminths (STHs). Baseline surveys for schistosomiasis and STHs was conducted before implementation of any integrated control strategies, followed by 4 cross-sectional follow-up surveys on randomly selected samples of schoolchildren and adults in 10 primary schools and 8 villages, respectively, on Kome islands. Those follow-up surveys were conducted for impact evaluation after introduction of control strategies interventions in the study area. Five rounds of MDA have been implemented from 2009 along with PHAST and improved water supply with pumped wells as other control strategies for complementing MDA. A remarkable steady decline of schistosomiasis and STHs was observed from 2009 to 2012 with significant trends in their prevalence decline, and thereafter infection rate has remained at a low sustainable control. By the third follow-up survey in 2012, Schistosoma mansoni infection prevalence was reduced by 90.5% and hookworm by 93.3% among schoolchildren while in adults the corresponding reduction was 83.2% and 56.9%, respectively. Integrated control strategies have successfully reduced S. mansoni and STH infection status to a lower level. This study further suggests that monitoring and evaluation is a crucial component of any large-scale STH and schistosomiasis intervention.

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Abstract
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

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UCI(KEPA) : I410-ECN-0101-2016-513-001991945