DOCSLIB.ORG

A Contribufion to the Control of Soil-Transmitted Helminth Infecfions

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
A Contribufion to the Control of Soil-Transmitted Helminth Infecfions a contribution to the control of soil-transmitted helminth infections in Latin America and the Caribbean Operational guidelines for the implementation of integrated deworming activities a contribution to the control of soil-transmitted helminth infections in Latin America and the Caribbean Washington, D.C. 2015 Also published in: Spanish (2015): Pautas operativas para la puesta en marcha de actividades integradas de desparasitación: contribución al control de las geohelmintiasis en América Latina y el Caribe. ISBN 978-92-75-31861-4 PAHO HQ Library Cataloguing-in-Publication Data ********************************************************************************* Pan American Health Organization. Operational Guidelines for the Implementation of Deworming Activities: A Contribution to the Control of Soil-Transmitted Helminth Infections in Latin America and the Caribbean. Washington, DC : PAHO, 2015. 1. Helminthiasis – epidemiology. 2. Helminthiasis – diagnosis. 3. Helminthiasis – transmission. 4. Neglected Diseases. 5. Parasitic Diseases. 6. Public Health. 7. Americas. I. Title. ISBN 978-92-75-11861-0 (NLM Classification: WC 800) The Pan American Health Organization welcomes requests for permission to reproduce or translate its publications, in part or in full. Applications and inquiries should be addressed to the Department of Communications, Pan American Health Organization, Washington, D.C., U.S.A. (www.paho.org/publications/copyright-forms). The Department of Communicable Diseases and Health Analysis, Unit of Neglected, Tropical, and Vector Diseases ([email protected]) will be glad to provide the latest information on any changes made to the text, plans for new editions, and reprints and translations already available. © Pan American Health Organization, 2015. All rights reserved. Publications of the Pan American Health Organization enjoy copyright protection in accordance with the provisions of Protocol 2 of the Universal Copyright Convention. All rights are reserved. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the Secretariat of the Pan American Health Organization concerning the status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. recommended by the Pan American Health Organization in preference to others of a similar nature that are not mentioned. Errors andThe omissions mention excepted,of specific the companies names of or proprietary of certain manufacturers’ products are distinguished products does by notinitial imply capital that letters. they are endorsed or All reasonable precautions have been taken by the Pan American Health Organization to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the Pan American Health Organization be liable for damages arising from its use. Contents Acknowledgments ...................................................................................................................................................................... v Acronyms ........................................................................................................................................................................................ vii Glossary ......................................................................................................................................................................................... ix Introduction ................................................................................................................................................................................. xi 1. OBJECTIVE OF THE OPERATIONAL GUIDELINES ....................................................................................................... 1 2. TARGET AUDIENCE OF THIS REPORT ........................................................................................................................... 2 3. BACKGROUND AND FRAME OF REFERENCE ............................................................................................................. 3 3.1. Soil-transmitted helminth infections as a public health problem ...................................................... 3 3.2. The burden of soil-transmitted helminth infections worldwide and in Latin America and the Caribbean ................................................................................................................................................... 4 3.3. Interventions for control of the soil-transmitted helminth infections ............................................. 6 3.4. Deworming as an integral component of control of soil-transmitted helminth infections ..... 8 3.5. Integrating deworming into other public health activities, strategies, and programs ............... 12 3.5.1. Opportunities for integrating deworming activities into other public health components or programs........................................................................................................................ 13 4. OPERATIONAL FRAMEWORK ........................................................................................................................................... 19 4.1 Steps for implementing deworming activities at the national and subnational level ................ 19 STEP 1: Conduct an epidemiological situation analysis of STH .......................................................... 19 STEP 2: Mount an advocacy effort to obtain political buy-in; identify and establish partnerships for implementation ................................................................................................................... 20 STEP 3: Draft and implement a plan integrated into public health components or programs ............................................................................................................................................................... 22 STEP 4: Monitoring, evaluation, and operations research ................................................................... 28 5. ANNEXES ................................................................................................................................................................................ 39 References ...................................................................................................................................................................................... 63 List of Tables .................................................................................................................. 10 Table 1.2. BenefitsDeworming of deworming, strategies based by type on prevalence of soil-transmitted helminths ........................... 11 Table 3. Antiparasitic dosages by drug and age group, complementary interventions, and adverse effects ........................................................................................................................................... 12 and programs in the countries ..................................................................................................................... 12 Table 4. Benefits of integrating deworming activities into existing public health strategies Table 5. Recommended characteristics of deworming activities .................................................................. 13 Table 6. Components and programs with potential for integrating deworming of preschool-age children (ages 12 to 59 months) .............................................................................. 14 Table 7. Components, programs, and platforms with potential for integrating deworming activities for school-age children (ages 5 to 14 years) ...................................................................... 17 Table 8. Ideal conditions of the components, platforms, and programs with potential to integrate deworming .................................................................................................................................. 18 Table 9. Steps for integrating deworming into other public health components or programs ......... 19 Table 10. Packages of STH control measures............................................................................................................. 25 Table 11. Category of indicators, use, and collection frequency ....................................................................... 31 Table 12. Process indicators ............................................................................................................................................. 32 Table 13. Performance indicators ................................................................................................................................... 34 Table 14. Impact indicators ............................................................................................................................................... 36 List of Figures Figure 1. Life cycle of soil-transmitted helminths................................................................................................... 3 Figure 2. Prevalence of soil-transmitted helminth infections according to available studies, Latin America and the Caribbean, 1998 to 2007. ................................................................................ 5 Figure 3. Graphic representation
Load more

Recommended publications
  • Worms and WASH(ED) – Nicaragua –
    Worms and WASH(ED) April 26 – Nicaragua – 2011 A case study on control of intestinal worms in youth populations Franciscka Lucien, MA 2011 | Cara Bess Janusz, MA MPH 2011 The George Washington University | Elliott School of International Affairs | Latin American & Hemispheric Studies Program Table of Contents Introduction ........................................................................................................................................................ 3 Children Without Worms .................................................................................................................................... 5 Methodology ....................................................................................................................................................... 4 Partners for Solutions in Nicaragua: A Stakeholder Analysis .............................................................................. 4 Neglected Tropical Diseases: A problem globally and in the Americas .............................................................. 6 NTDs in Nicaragua: Health in a social context .................................................................................................... 8 Historical Perspectives: Opportunities for Deworming in Nicaragua ................................................................. 9 Current STH Control Strategy in Nicaragua: Leveraging existing delivery systems .......................................... 10 Moving towards Sustainable Prevention: Efforts to Achieve Comprehensive STH
    [Show full text]
  • Safety of a New Chewable Formulation of Mebendazole For
    Hindawi Publishing Corporation Journal of Tropical Medicine Volume 2012, Article ID 590463, 7 pages doi:10.1155/2012/590463 Clinical Study Safety of a New Chewable Formulation of Mebendazole for Preventive Chemotherapy Interventions to Treat Young Children in Countries with Moderate-to-High Prevalence of Soil Transmitted Helminth Infections Andrew J. Friedman,1 Said M. Ali,2 and Marco Albonico3 1 Janssen Research & Development, LLC, Titusville, New Jersey, NJ 08560, USA 2 Public Health Laboratory, Ivo de Carneri, P.O. Box 122, Pemba Island, Zanzibar, Tanzania 3 Ivo de Carneri Foundation, Viale Monza 44, 20127 Milan, Italy Correspondence should be addressed to Andrew J. Friedman, [email protected] Received 22 August 2012; Accepted 5 December 2012 Academic Editor: Marcel Tanner Copyright © 2012 Andrew J. Friedman et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The primary objective was to evaluate the safety and tolerability of the new chewable formulation of mebendazole to treat soil-transmitted helminth (STH) infections in children ≤10 years old with the goal of using this formulation in preventive chemotherapy programs and expand treatment to young children who are unable to swallow solid tablets. In this open-label, single-arm, phase 3 study conducted at Pemba Island, Zanzibar, Tanzania, children aged 2 to 10 years (median age: 4 years) were administered a single dose of the mebendazole 500 mg chewable tablet. Safety was assessed 30 minutes after dose and 3 days later. Of the 390 (98%) children who completed the study, 195 (55%) had ≥1 STH infection and 157 (45%) had no infection at baseline.
    [Show full text]
  • STH Coalition Action Group Meeting
    STH Coalition Action Group Meeting 2017 Executive Summary and Meeting Report This document highlights summary notes and key recommendations from the STH Coalition Action Group Meeting held in London, UK, February 2-3, 2017 Report Date: April 6, 2017 Action Group Meeting Report 0 February 2-3, 2017 London, UK Cover photograph © GlaxoSmithKline Abbreviations and Acronyms ERP Expert Review Panel GAELF Global Alliance for the Elimination of Lymphatic Filariasis GPE Global Partnership for Education GSA Global Schistosomiasis Alliance ICTC International Coalition for Trachoma Control JMP Joint Monitoring Programme JRF Joint Reporting Form LF Lymphatic Filariasis M&E Monitoring and Evaluation MDA Mass Drug Administration MHI Moderate or high intensity infection MOE Ministry of Education MOH Ministry of Health NGO Non-governmental Organization NTD Neglected Tropical Disease OR Operational Research PC Preventive Chemotherapy PSAC Preschool-age Children RCT Randomized Control Trial SAC School-age Children SDG Sustainable Development Goal SHN School Health and Nutrition STH Soil-transmitted Helminthiasis STH AC STH Advisory Committee TAS Transmission Assessment Survey UNICEF United Nations International Children's Emergency Fund UTC-NTDs Uniting to Combat Neglected Tropical Diseases WASH Water, Sanitation, and Hygiene WCBA Women of Childbearing Age WER Weekly Epidemiological Record WHO World Health Organization Action Group Meeting Report 1 February 2-3, 2017 London, UK Executive Summary Meeting Objectives Understand and address geographic and epidemiologic drug coverage gaps based on current WHO strategy milestones. Review Coalition progress of 2016 activities and finalize the 2017 Annual Work Plan. Guide STH Coalition operations and functional structure to ensure effective coordination and impact on STH control. Executive Summary The STH Coalition Action Group met in London on February 2-3, 2017.
    [Show full text]
  • Women and Girls in Focus
    NEGLECTED TROPICAL DISEASES: WOMEN AND GIRLS IN FOCUS Summary report of meeting held on July 27–28, 2016 in London, UK Organizing Committee Camilla Ducker, Department for International Development Noelle Huskins, Bill and Melinda Gates Foundation (BMGF) Julie Jacobson, BMGF Pamela Mbabazi, World Health Organisation Amy Pennington, BMGF Thoko Pooley, Uniting to Combat NTDs Fiona Fleming, Schistosomiasis Control Initiative (SCI) Report prepared by Lola Arakaki, Luwam Kidane, and Tao Sheng Kwan-Gett from the Strategic Analysis and Research Training Center, Department of Global Health, University of Washington School of Public Health and Sarah Simpson from EquiACT with support from the Bill and Melinda Gates Foundation and reviewed by members of the organizing committee and meeting participants. Image credits Cover: Sightsavers / Kate Holt Page 3: Netherlands Leprosy Relief Pages 4, 5, 7 : GSK / Marcus Perkins Page 9, 11, 13: Sightsavers / Tommy Trenchard Page 10: Sightsavers / Eliza Deacon EXECUTIVE SUMMARY The Uniting to Combat Neglected Tropical Diseases (NTDs) community is committed both to ending these diseases of poverty and to ensuring that no one is left behind. This report highlights findings from a literature review and At the meeting, presentations summarizing the an interactive meeting that set out to assess knowledge landscape review and key informant interviews were about the impact that NTDs and mass drug administration followed by discussions on the strengths and limitations (MDA) programs have on women and girls and identify of existing NTD data and programming with respect to opportunities to improve access and strengthen the value each of the themes as well as opportunities to address and positive impacts of MDA for women and girls.
    [Show full text]
  • Helminth Control in School-Age Children
    Deworming school-age children Helminth control in The school-based control of schistosomiasis and soil transmitted helminth infections is of proven cost-effectiveness. This book is intended to help managers plan, implement, and monitor programmes for deworming school-age children using methods based on • the best current evidence and experience. school-age children Second edition The book describes an approach in which epidemiological data are used to select the control strategy to be applied to the school-age population and shows how periodic data collection from sentinel sites can be used to monitor the progress of control activities. A guide for managers The first edition of this book was published in 2002. This second edition incorporates of control programmes more recent experience and lessons learned from school-based control programmes in several countries not previously reported. It also includes references to web sites where useful information is available. Second edition Preventive Chemotherapy and Transmission Control (PCT) Department of Control of Neglected Tropical Diseases (NTD) World Health Organization 20, Avenue Appia 1211 Geneva 27, Switzerland http://www.who.int/neglected_diseases/en Helminth control in school-age children A guide for managers of control programmes Second edition HHelminth_control_in_SHC.inddelminth_control_in_SHC.indd i 22012-02-17012-02-17 111:29:161:29:16 WHO Library Cataloguing-in-Publication Data: Helminth control in school age children: a guide for managers of control programmes - 2nd ed. 1. Helminthiasis - prevention and control 2. Helminthiasis - drug therapy. 3.Schistosomiasis - prevention and control 4.Schistosomiasis -drug therapy. 5.Helminths - growth and development. 6.Anthelmintics - therapeutic use. 7.Child. 8.National health programs - organization and administration 9.Guidelines.
    [Show full text]
  • Water, Sanitation, Hygiene, and Soil-Transmitted Helminth Infection: a Systematic Review and Meta-Analysis Eric C
    Water, Sanitation, Hygiene, and Soil-Transmitted Helminth Infection: A Systematic Review and Meta-Analysis Eric C. Strunz, The Task Force for Global Health David G. Addiss, The Task Force for Global Health Meredith E. Stocks, Emory University Stephanie Ogden, The Task Force for Global Health Jurg Utzinger, Swiss Tropical and Public Health Institute Matthew Freeman, Emory University Journal Title: PLoS Medicine Volume: Volume 11, Number 3 Publisher: Public Library of Science | 2014-03-01, Pages e1001620-e1001620 Type of Work: Article | Final Publisher PDF Publisher DOI: 10.1371/journal.pmed.1001620 Permanent URL: https://pid.emory.edu/ark:/25593/s604r Final published version: http://dx.doi.org/10.1371/journal.pmed.1001620 Copyright information: © 2014 Strunz et al. This is an Open Access work distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/). Accessed September 23, 2021 12:56 PM EDT Water, Sanitation, Hygiene, and Soil-Transmitted Helminth Infection: A Systematic Review and Meta-Analysis Eric C. Strunz1*, David G. Addiss1, Meredith E. Stocks2, Stephanie Ogden1,2,3,Ju¨ rg Utzinger4,5, Matthew C. Freeman2 1 Children Without Worms, The Task Force for Global Health, Decatur, Georgia, United States of America, 2 Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America, 3 International Trachoma Initiative, The Task Force for Global Health, Decatur, Georgia, United States of America, 4 Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland, 5 University of Basel, Basel, Switzerland Abstract Background: Preventive chemotherapy represents a powerful but short-term control strategy for soil-transmitted helminthiasis.
    [Show full text]
  • Neglected Tropical Diseases the Case of Cambodia
    August 2014 Case Study Report Health NEGLECTED TROPICAL DISEASES The case of Cambodia Romina Rodríguez Pose developmentprogress.org Overseas Development Institute Cover image: © Lorena Pajares 203 Blackfriars Road London SE1 8NJ The Institute is limited by guarantee Registered in England and Wales Registration no. 661818 Charity no. 228248 Contact us developmentprogress.org [email protected] T: +44 (0)20 7922 0300 Sign up for our e-newsletter developmentprogress.org/sign-our-newsletter Follow us on Twitter twitter.com/dev_progress Disclaimer The views presented in this paper are those of the author(s) and do not necessarily represent the views of ODI. © Overseas Development Institute 2014. Readers are encouraged to quote or reproduce material for non-commercial use. For online use, please link to the original resource on the Development Progress website. As copyright holder, ODI requests due acknowledgement and a copy of the publication. Contents Acknowledgements 6 Abbreviations and acronyms 6 Abstract 7 1. Introduction 9 1.1 Methodology and structure of the report 12 2. What progress has been achieved? 17 2.1 Progress on STH, SCH and LF 17 2.2 Incipient progress in controlling trachoma, FBT and strongyloidiasis 23 2.3 A regional performer against the odds 25 2.4 Achievements in behavioural change: the role of WASH 26 2.5 Progress in the health sector since the civil war 28 3. What are the factors driving change? 31 3.1 Strong collaboration between the MoH and the MoEYS 31 3.2 Cost-effective integration of NTD interventions into government health structures 33 3.3 Nurturing the programme: support and capacity building through partnerships 35 3.4.
    [Show full text]
  • A Call to Action: Addressing Soil
    A Call to Action: Addressing Soil-transmitted Helminths in Latin America & the Caribbean A Call to Action: Addressing Soil-transmitted Helminths in Latin America & the Caribbean The Global Network for Neglected Tropical Diseases, the Inter-American Development Bank (IDB) and the Pan American Health Organization (PAHO), are leading the Latin America and the Caribbean NTD Initiative to develop a comprehensive approach within the region to combat the seven most common neglected tropical diseases (NTDs), with the help of funding from the Bill & Melinda Gates Foundation. Leveraging IDB’s financial facilities and experience in project implementation, PAHO’s technical expertise, and the Global Network’s advocacy and fundraising capabilities, the Latin America and the Caribbean NTD Initiative is facilitating a comprehensive expansion of efforts within the region to address the current treatment gap for children and adults affected by NTDs. © 2011. Inter-American Development Bank, Pan American Health Organization, Sabin Vaccine Institute. A Call to Action: Addressing Soil-transmitted Helminths in Latin America & the Caribbean. This report was developed with the input of various professionals working on neglected tropical disease control and elimination. Special thanks goes to those who participated in the review of this report. Photos provided courtesy of Fundación Mundo Sano, the Inter-American Development Bank, APCO Worldwide, and Ryan Hart. Support for this project was generously provided by The George Washington University’s Center for the Study of Globalization, headed by Director John Forrer. Dear regional leaders, public health advocates and colleagues: Countries throughout the Americas have recommitted themselves to achieving the Millennium Development Goals by 2015, just four short years away.
    [Show full text]
  • The STH Advisory Committee Annual Meeting
    The STH Advisory Committee Annual Meeting 2016 Recommendations This document highlights summary notes and key recommendations from the annual STH Advisory Committee meeting held in Basel, Switzerland on October 18-19, 2016 STH Advisory Committee | 2016 Recommendations 0 THE STH ADVISORY COMMITTEE The Soil-Transmitted Helminthiasis (STH) Advisory Committee is an independent group of experts with a broad range of experience pertaining to STH, including child health, clinical medicine, diagnosis, education, epidemiology, parasitology, public health program implementation, spatial statistics, and water, sanitation and hygiene (WASH). As the technical and scientific arm of the STH Coalition, the STH Advisory Committee holds an annual meeting to deliberate and provide guidance on technical issues regarding the prevention, treatment, and control of STH, with a particular emphasis on the safe, rational, and effective administration of donated drugs—albendazole and mebendazole (VermoxTM). Recommendations from the 2015 STH Advisory Committee annual meeting can be found here. Children Without Worms (CWW) serves as the secretariat for the STH Advisory Committee, which in turn provides strategic and technical advice and guidance to CWW, the STH Coalition, the World Health Organization (WHO), GlaxoSmithKline (GSK), Johnson & Johnson, and other constituencies. Publication date: This report was made publically available on December 7, 2016. Please contact Children Without Worms ([email protected]) with any comments or questions. Disclaimer: Inclusion of information in this report does not constitute ‘publication’ of that information. Logos used herein remain the property of their respective owners. The listing of the organizations and their logos is not intended to imply endorsement. Cover photographs: © Johnson & Johnson. School-age children receiving deworming treatments during a mass drug administration campaign in Cameroon in February 2007 (left).
    [Show full text]
  • Challenges in Developing Age-Appropriate Formulations for Neglected Tropical Diseases
    Challenges in Developing Age-appropriate Formulations for Neglected Tropical Diseases Daniel Schaufelberger, PhD IQ Consortium, Pediatric Working Group Webinar Series 20 November 2019 Schaufelberger Consulting LLC IQ PWG Webinar 20 Nov 2019 1 Outline - Neglected Tropical Diseases - Products, Manufacturing, Supply Chain - Regulatory Processes - Organizations - Examples - Soil Transmitted Helminth Infections - Schistosomiasis - Learning from others - Q&A Schaufelberger Consulting LLC IQ PWG Webinar 20 Nov 2019 2 Neglected Tropical Disease (NTD) Neglected tropical diseases (NTDs) – a diverse group of communicable diseases that prevail in tropical and subtropical conditions in 149 countries – affect more than one billion people and cost developing economies billions of dollars every year. Populations living in poverty, without adequate sanitation and in close contact with infectious vectors and domestic animals and livestock are those worst affected. www.who.int/neglected_diseases Buruli ulcer Mycetoma, chromoblastomycosis and other deep mycoses Chagas disease Onchocerciasis (river blindness) Dengue and Chikungunya Rabies Dracunculiasis (guinea-worm disease) Scabies and other ectoparasites Echinococcosis Schistosomiasis Foodborne trematodiases Soil-transmitted helminthiases Human African trypanosomiasis (sleeping sickness) Snakebite envenoming Leishmaniasis Taeniasis/Cysticercosis Leprosy (Hansen's disease) Trachoma Lymphatic filariasis Yaws (Endemic treponematoses) Schaufelberger Consulting LLC IQ PWG Webinar 20 Nov 2019 3 Neglected Tropical Disease (NTD) Neglected tropical diseases are a diverse group of tropical infections which are common in low-income populations in developing regions of Africa, Asia, and the Americas. They are caused by a variety of pathogens such as viruses, bacteria, protozoa and helminths. These diseases are contrasted with the big three infectious diseases [malaria, HIV/AIDS, tuberculosis] which generally receive greater treatment and research funding.
    [Show full text]
  • Unprogrammed Deworming in the Kibera Slum, Nairobi: Implications for Control of Soil-Transmitted Helminthiases
    RESEARCH ARTICLE Unprogrammed Deworming in the Kibera Slum, Nairobi: Implications for Control of Soil-Transmitted Helminthiases Julie R. Harris1*, Caitlin M. Worrell1, Stephanie M. Davis2, Kennedy Odero3, Ondari D. Mogeni3, Michael S. Deming1, Aden Mohammed4, Joel M. Montgomery5, Sammy M. Njenga3,6, LeAnne M. Fox1, David G. Addiss7 1 Parasitic Diseases Branch, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America, 2 Division of Global HIV/AIDS, Centers for Disease Control and Prevention, Atlanta, Georgia, a11111 United States of America, 3 Kenya Medical Research Institute, Centre for Global Health Research, Nairobi, Kenya, 4 Public Health Department, School Health Program, Nairobi County, Nairobi, Kenya, 5 Division of Global Health Protection, Centers for Disease Control and Prevention, Nairobi, Kenya, 6 Eastern and Southern Africa Centre of International Parasite Control, Kenya Medical Research Institute, Nairobi, Kenya, 7 Children Without Worms, Task Force for Global Health, Decatur, Georgia, United States of America * [email protected] OPEN ACCESS Citation: Harris JR, Worrell CM, Davis SM, Odero K, Abstract Mogeni OD, Deming MS, et al. (2015) Unprogrammed Deworming in the Kibera Slum, Nairobi: Implications for Control of Soil-Transmitted Background Helminthiases. PLoS Negl Trop Dis 9(3): e0003590. doi:10.1371/journal.pntd.0003590 Programs for control of soil-transmitted helminth (STH) infections are increasingly evaluat- “ Editor: Zvi Bentwich, Rosetta Genomics, ISRAEL ing national mass drug administration (MDA) interventions. However, unprogrammed de- worming” (receipt of deworming drugs outside of nationally-run STH control programs) Received: October 2, 2014 occurs frequently. Failure to account for these activities may compromise evaluations of Accepted: February 4, 2015 MDA effectiveness.
    [Show full text]
  • STH Coalition Framework for Action
    STH Coalition Framework for Action November 2014 This document describes the case for action in STH control and outlines the aims and priorities of partners who are coming together in the STH Coalition. The Framework will be a “living” document, updated quarterly, as needed. For more information, visit www.childrenwithoutworms.org or contact [email protected] STH Coalition Framework for Action Executive Summary A Case for Action on STH Soil-transmitted helminthiasis (STH), a disease caused by intestinal worms, affects the health of more than one billion people – one of every seven worldwide – and over 875 million children are at risk of infection. The main risk groups are preschool- and school-age children and women of childbearing age. STH causes: • Stunted growth • Lower school attendance • Reduced absorption of nutrients and vitamins • Reduced productivity and economic well-being • Anemia • Increased susceptibility to other infectious • Impaired cognitive development and ability diseases to learn STH is a disease of poverty and is linked to broader community development challenges. Worm infections are undermining work being done across multiple sectors including education, nutrition and maternal health, taking a toll on both infected children and adults, and their communities. Deworming improves the health of children, supporting them to be healthy and reach their full potential; deworming is a cost-effective intervention that can be integrated into existing health “platforms.” The World Health Organization has set a target of reaching 75% of all at-risk children (ages 1-14) by 2020; yet only 32% of children received deworming drugs in 2012. In addition, improving water, sanitation and hygiene (WASH) helps to prevent STH transmission and reinfection.
    [Show full text]