Effectiveness of a community-based integrated strategy to control soil-transmitted helminthiasis and clonorchiasis in the People's Republic of China

Soil-transmitted helminthiases (STHs) are caused by a group of intestinal nematode infections due to poor hygiene and environments, and clonorchiasis is a food-borne trematode (FBT) infection caused by ingestion of raw freshwater fish. Both are endemic in the People's Republic of China. To expl...

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Published inActa tropica Vol. 214; p. 105650
Main Authors Chen, Ying-Dan, Li, Hua-Zhong, Xu, Long-Qi, Qian, Men-Bao, Tian, Hong-Chun, Fang, Yue-Yi, Zhou, Chang-Hai, Ji, Zhuo, Feng, Zi-Jian, Tang, Meng, Li, Qun, Wang, Yu, Bergquist, Robert, Zhou, Xiao-Nong
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier B.V 01.02.2021
Subjects
Animals
China
China - epidemiology
Clonorchiasis
Clonorchiasis - epidemiology
Clonorchiasis - prevention & control
Community Health Services
Community-based strategy
Health Education
Helminthiasis - epidemiology
Helminthiasis - prevention & control
Humans
Integrated intervention
Prevalence
Sanitation
Soil - parasitology
Soil-transmitted helminths
China
Clonorchiasis
Integrated intervention
Soil-transmitted helminths
China
Community-based strategy
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Summary:Soil-transmitted helminthiases (STHs) are caused by a group of intestinal nematode infections due to poor hygiene and environments, and clonorchiasis is a food-borne trematode (FBT) infection caused by ingestion of raw freshwater fish. Both are endemic in the People's Republic of China. To explore a suitable control strategy, integrated interventions were applied between 2007 and 2009 in ten pilot counties (eight for the STHs and two for clonorchiasis). Drug administration was used for treatment and complementary efforts to improve the situation based on health education, provision of clean water and sanitation were carried out. Significant achievements were gained as reflected by a drastic decrease in prevalence these infections were demonstrated. The overall prevalence of STHs and clonorchiasis decreased from 35.9% to 7.8% and from 41.4% to 7.0%, respectively. The reduction of prevalence and high cost-effectiveness were documented supporting large-scale application of this integrated intervention in China and elsewhere.
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ISSN:0001-706X
1873-6254
DOI:10.1016/j.actatropica.2020.105650