Assessing the impact of a joint human-porcine intervention package for Taenia solium control: Results of a pilot study from northern Lao PDR

•Taenia solium taeniasis prevalence was significantly reduced during the project lifetime.•First T. solium control intervention in Southeast Asia targeting both pigs and humans.•First demonstration globally of the impact of joint anthelmintic therapy on the adult T. solium parasite in human host.•Th...

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Veröffentlicht in:Acta tropica 2016-07, Vol.159, p.185-191
Hauptverfasser: Okello, Anna L., Thomas, Lian, Inthavong, Phouth, Ash, Amanda, Khamlome, Boualam, Keokamphet, Chattouphone, Newberry, Kim, Gauci, Charles G., Gabriël, Sarah, Dorny, Pierre, Thompson, RC Andrew, Lightowlers, Marshall W., Allen, John
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container_title Acta tropica
container_volume 159
creator Okello, Anna L.
Thomas, Lian
Inthavong, Phouth
Ash, Amanda
Khamlome, Boualam
Keokamphet, Chattouphone
Newberry, Kim
Gauci, Charles G.
Gabriël, Sarah
Dorny, Pierre
Thompson, RC Andrew
Lightowlers, Marshall W.
Allen, John
description •Taenia solium taeniasis prevalence was significantly reduced during the project lifetime.•First T. solium control intervention in Southeast Asia targeting both pigs and humans.•First demonstration globally of the impact of joint anthelmintic therapy on the adult T. solium parasite in human host.•These results are a timely contribution to the WHO Neglected Tropical Disease Roadmap. Following confirmation that a remote village of approximately 300 inhabitants in northern Lao PDR was hyperendemic for the Neglected Tropical Disease Taenia solium, a pilot human-porcine therapeutic control intervention was implemented between October 2013 and November 2014. Mass drug administration with a three day albendazole 400mg protocol was offered to all eligible humans in October 2013 and March 2014. At these times, and again in October 2014, eligible village pigs received the anti-cysticercosis TSOL18 vaccination and an oral dose of oxfendazole anthelmintic at 30mg/kg, both repeated one month later. Community and individual human taeniasis prevalences were estimated via copro-antigen ELISA of volunteered human faecal samples prior to October 2013, and again in January 2015, in order to examine the short term impact of the intervention.
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subjects Adult
Aged
Aged, 80 and over
Albendazole - therapeutic use
Animals
Anthelmintics - therapeutic use
Benzimidazoles - therapeutic use
Cysticercosis - drug therapy
Cysticercosis - epidemiology
Cysticercosis - prevention & control
Enzyme-Linked Immunosorbent Assay
Feces - parasitology
Female
Humans
Laos - epidemiology
Male
Middle Aged
Pilot Projects
Prevalence
Swine
Swine Diseases - drug therapy
Swine Diseases - epidemiology
Swine Diseases - parasitology
Taenia solium
Taenia solium - isolation & purification
Taeniasis - drug therapy
Taeniasis - prevention & control
Vaccination
title Assessing the impact of a joint human-porcine intervention package for Taenia solium control: Results of a pilot study from northern Lao PDR
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