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Diagnostics for schistosomiasis in Africa and Arabia: a review of present options in control and future needs for elimination

Stothard, Russell ORCID: https://orcid.org/0000-0002-9370-3420, Stanton, Michelle ORCID: https://orcid.org/0000-0002-1754-4894, Bustinduy, Amaya L., Sousa-Figueiredo, José C., Van Dam, Govert J., Betson, Martha, Waterhouse, David, Ward, Stephen ORCID: https://orcid.org/0000-0003-2331-3192, Allan, Fiona, Hassan, Amir, Al-Helal, Mohammed A., Memish, Ziad A. and Rollinson, David (2014) 'Diagnostics for schistosomiasis in Africa and Arabia: a review of present options in control and future needs for elimination'. Parasitology, Vol 141, Issue 14, pp. 1947-1961.

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Abstract

SUMMARY: Within the World Health Organization 2012–2020 roadmap for control and elimination of schistosomiasis, the scale-up of mass drug administration with praziquantel is set to change the epidemiological landscape across Africa and Arabia. Central in measuring progress is renewed emphasis upon diagnostics which operate at individual, community and environmental levels by assessing reductions in disease, infections and parasite transmission. However, a fundamental tension is revealed between levels for present diagnostic tools, and methods applied in control settings are not necessarily adequate for application in elimination scenarios. Indeed navigating the transition from control to elimination needs careful consideration and planning. In the present context of control, we review current options for diagnosis of schistosomiasis at different levels, highlighting several strengths and weaknesses therein. Future challenges in elimination are raised and we propose that more cost-effective diagnostics and clinical staging algorithms are needed. Using the Kingdom of Saudi Arabia as a contemporary example, embedding new diagnostic methods within the primary care health system is discussed with reference to both urogenital and intestinal schistosomiasis.

Item Type: Article
Additional Information: Special Issue - Symposia of the British Society for Parasitology Volume 52 Advances in diagnostics for parasitic diseases.
Subjects: W General Medicine. Health Professions > W 26.5 Informatics. Health informatics
QV Pharmacology > Anti-Inflammatory Agents. Anti-Infective Agents. Antineoplastic Agents > QV 253 Anthelmintics
QV Pharmacology > QV 38 Drug action.
WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries
WA Public Health > Statistics. Surveys > WA 950 Theory or methods of medical statistics. Epidemiologic methods
WB Practice of Medicine > Diagnosis > General Diagnosis > WB 141 General works
WC Communicable Diseases > Tropical and Parasitic Diseases > WC 810 Schistosomiasis
Faculty: Department: Clinical Sciences & International Health > International Public Health Department
Biological Sciences > Department of Tropical Disease Biology
Digital Object Identifer (DOI): https://doi.org/10.1017/S0031182014001152
Depositing User: Martin Chapman
Date Deposited: 04 Dec 2014 11:09
Last Modified: 06 Feb 2018 13:08
URI: https://archive.lstmed.ac.uk/id/eprint/4615

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