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Podoconiosis: key priorities for research and implementation

Deribe, Kebede, Mackenzie, Charles D, Newport, Melanie J, Argaw, Daniel, Molyneux, David ORCID: https://orcid.org/0000-0001-8537-7947 and Davey, Gail (2020) 'Podoconiosis: key priorities for research and implementation'. Transactions of the Royal Society of Tropical Medicine and Hygiene, Vol 114, Issue 12, pp. 889-895.

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Abstract

Podoconiosis is a non-infectious tropical lymphoedema causing swelling of the lower legs. Podoconiosis is associated with stigma, depression and reduced productivity, resulting in significant socio-economic impacts for affected individuals, families and communities. It is caused by barefoot exposure to soils and affects disadvantaged populations. Evidence from the past 5 y suggests that podoconiosis is amenable to public health interventions, e.g. footwear and hygiene-based morbidity management, which reduce acute clinical episodes. Although much has been learned in recent years, advances in care for these patients and worldwide control requires further reliable and relevant research. To develop a comprehensive global control strategy, the following key research priorities are important: better understanding of the global burden of podoconiosis through extended worldwide mapping, development of new point-of-care diagnostic methods and approaches to define the presence of the environmental characteristics that contribute to the development of the condition, improving treatment through an increased understanding of the pathogenesis of dermal changes over time, improved understanding of optimal ways of providing patient care at the national level, including research to optimize behavioural change strategies, determine the optimum package of care and integrate approaches to deliver robust surveillance, monitoring and evaluation of control programmes.

Item Type: Article
Subjects: WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries
WC Communicable Diseases > Tropical and Parasitic Diseases > WC 680 Tropical diseases (General)
WH Hemic and Lymphatic Systems > Lymphatic System > WH 700 Lymphatic system. Lymphatic diseases (General)
Faculty: Department: Biological Sciences > Department of Tropical Disease Biology
Digital Object Identifer (DOI): https://doi.org/10.1093/trstmh/traa094
Depositing User: Stacy Murtagh
Date Deposited: 13 Nov 2020 13:15
Last Modified: 16 Dec 2020 12:27
URI: https://archive.lstmed.ac.uk/id/eprint/16062

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