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关于丝虫病社会、经济和临床影响方面的零星知识尚不足以为国家或地方在制定公共卫生规划中考虑将丝虫病的控制列入优先问题提供实际指导。目前从经验中所积累的关于丝虫病的社会决定因素方面的知识提示,丝虫病控制规划必须在社区水平实施方能奏效。海群生(DEC)业已成功地用于社区丝虫病的控制,其不同的实施方案具有不同的成本、疗程、副作用发生率和社区参与程度。DEC药盐在丝虫病的许多流行区不失为一种颇具吸引力的方法。进一步寻找耗费低、效果好的控制方法不仅需要注重方法的成本核算,而且需要研究决定社区接受性、顺从性和参与程度的因素。
Sporadic knowledge of the social, economic and clinical impact of filariasis is not yet sufficient to provide practical guidance to countries or places in their consideration of the development of public health programs to prioritize the control of filariasis. The current accumulated knowledge of the social determinants of filariasis from experience suggests that programs for the control of filariasis must work effectively at the community level. DECORA has been successfully used for the control of community filariasis, with different implementations of different costs, duration of treatment, side effects and community involvement. DEC salts are an attractive method in many endemic areas of filariasis. Further searching for cost-effective and effective control methods requires not only cost-focused approaches, but also factors that determine community acceptance, compliance and participation.