Health education and the control of intestinal worm infections in China: a new vision

Particle and Fibre Toxicology

Darren J Gray³  Veronica Tallo⁸  Remigio M Olveda⁸  Xiao-Nong Zhou^1,11  Kate Halton⁵  Allen G Ross⁴  Donald Stewart⁴  Ricardo J Soares Magalhães⁶  Peiling Yap¹  Giovanna Raso¹  Peter Steinmann¹  Archie CA Clements³  Zun-Wei Du^1,10  Yang Henglin^1,10  Li-Ping Yuan⁷  Gail M Williams²  Yue-Sheng Li⁷  Franziska A Bieri³  Donald P McManus⁹ 

[1] Swiss Tropical and Public Health Institute, University of Basel, Basel, Switzerland;The School of Population Health, The University of Queensland, Brisbane, Queensland, Australia;Research School of Population Health, The Australian National University, Canberra, Australia;Griffith Health Institute, Griffith University, Brisbane, Australia;School of Public Health and Social Work, Queensland University of Technology, Brisbane, Australia;School of Veterinary Science, University of Queensland, Brisbane, Gatton, Australia;Hunan Institute of Parasitic Diseases, WHO Collaborating Centre for Research and Control on Schistosomiasis in Lake Region, Yueyang, China;Research Institute for Tropical Medicine, Manila, Philippines;QIMR Berghofer Medical Research Institute, Herston, Brisbane, Queensland, Australia;Yunnan Institute of Parasitic Diseases, Pu’er, China;National Institute of Parasitic Disease, Chinese Center for Disease Control and Prevention, Shanghai, China

关键词: “Magic Glasses” video;    Health education;    People’s Republic of China;    Soil-transmitted helminths (STHs);    Ancylostoma duodenale;    Necator americanus;    Trichuris trichiura;    Ascaris lumbricoides;   

Others  :  1181893
DOI  :  10.1186/1756-3305-7-344

 received in 2014-07-09, accepted in 2014-07-21,  发布年份 2014

【 摘 要 】

Background

The transmission of soil-transmitted helminths (STHs) is associated with poverty, poor hygiene behaviour, lack of clean water and inadequate waste disposal and sanitation. Periodic administration of benzimidazole drugs is the mainstay for global STH control but it does not prevent re-infection, and is unlikely to interrupt transmission as a stand-alone intervention.

Findings

We reported recently on the development and successful testing in Hunan province, PR China, of a health education package to prevent STH infections in Han Chinese primary school students. We have recently commenced a new trial of the package in the ethnically diverse Xishuangbanna autonomous prefecture in Yunnan province and the approach is also being tested in West Africa, with further expansion into the Philippines in 2015.

Conclusions

The work in China illustrates well the direct impact that health education can have in improving knowledge and awareness, and in changing hygiene behaviour. Further, it can provide insight into the public health outcomes of a multi-component integrated control program, where health education prevents re-infection and periodic drug treatment reduces prevalence and morbidity.

【 授权许可】

   
2014 McManus et al.; licensee BioMed Central Ltd.

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