Towards interruption of schistosomiasis transmission in sub-Saharan Africa: developing an appropriate environmental surveillance framework to guide and to support ‘end game’ interventions

by J. Russell Stothard, Suzy J. Campbell, Mike Y. Osei-Atweneboana et al.
Infectious Diseases of Poverty, 2017 6:10 – Published: 14 January 2017

11 pp. 1.3 MB
http://idpjournal.biomedcentral.com/track/pdf/10.1186/s40249-016-0215-9?
site=idpjournal.biomedcentral.com

Schistosomiasis is a waterborne parasitic disease in sub-Saharan Africa, particularly common in rural populations living in impoverished conditions. With the scale-up of preventive chemotherapy, national campaigns will transition from morbidity- to transmission-focused interventions thus formal investigation of actual or expected declines in environmental transmission is needed as ‘end game’ scenarios arise. Surprisingly, there are no international or national guidelines to do so in sub-Saharan Africa. The article therefore provides an introduction to key practicalities and pitfalls in the development of an appropriate environmental surveillance framework.

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