Control of Taenia Solium Transmission of Taeniosis and Cysticercosis in Endemic Countries: The Roles of Continental Networks of Specialists and of Local Health Authorities

Fleury, Agnès; Sciutto, Edda; Aluja, Aline S. de; Larralde, Carlos; Agudelo, Sonia del Pilar; Garcia, Gisela Maria; Fandino, Jaime; Guerra, Randy; Nunes, Cáris Maroni; Aragão, Samuel Carvalho de; Sato, Marcello Otake; Abraham, Ronaldo; Carpio, Arturo; Santillán, Franklin; Cortez, A Maria Milagros; Rojas, Glenda; Ferrer, Elizabeth; Aguilar, Cruz Manuel; Durán, Juan Carlos; Gárate, Teresa; Parkhouse, R. M. E.

doi:10.5772/51286

Cited by 7 publications

(8 citation statements)

References 106 publications

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“…Diverse intervention methods have been recommended and tried in order to control T. solium cysticercosis (Fleury et al, 2013). A multipronged approach consisting of vaccination of pigs using TSOL18 vaccine and treatment with oxfendazole along with mass chemotherapy of humans is promising and with praziquantel could eliminate taeniasis.…”

Section: Discussionmentioning

confidence: 99%

“…Health education is a significant part of control strategies for T. solium (Garcia et al, 2010;Fleury et al, 2013) and could play a significant role by informing consumers about the risks related to the consumption of infected pork; subsequent refusal to purchase infected meat might assist in a change of management practices, as farmers will acknowledge a clearer economic cost of high-risk practices (Thomas, 2015;Gabriël et al, 2016). Impact could extend throughout the meat supply chain and to health workers and the general population (Thomas, 2015), although like other interventions, education has limitations as a stand-alone approach (Gabriël et al, 2016).…”

Section: Health Educationmentioning

confidence: 99%

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Overview of Taenia solium cysticercosis in West Africa

et al. 2019

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Human and porcine cysticercosis is endemic in West Africa, where epilepsy is relatively common, but rarely reported due to fear of stigmatization. Neurocysticercosis, caused by Taenia solium, tends to affect the poor in developing countries and control is hampered by inadequate infrastructure and financial resources coupled with lack of adequate information about its significance and distribution. The risk factors for human cysticercosis are closely associated with the characteristics of smallholder or backyard pig farming systems prevalent in this region. Poverty, ignorance and lack of political will militate against successful eradication, while tools for effective diagnosis, prevention and treatment, including vaccines for pigs, are not yet available in many countries. Cysticercosis was targeted for control by The World Health Organization global plan for 2008-2015; however, measures for control are yet to be undertaken in a coordinated manner in West Africa. Diagnostic tools, including neuroimaging facilities, should be strategically situated and made accessible to rural populations in West Africa. Community education in combination with a multipronged approach consisting of vaccination of pigs using TSOL18 vaccine and treatment with oxfendazole along with mass chemotherapy of humans with praziquantel could eliminate taeniasis and should be considered in the region. Indepth and extensive epidemiological studies are required in the region in order to fully elucidate the prevalence of T. solium and to support more coordinated and effective control of human and porcine cysticercosis.

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Section: Discussionmentioning

confidence: 99%

Section: Health Educationmentioning

confidence: 99%

Overview of Taenia solium cysticercosis in West Africa

et al. 2019

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“…In 2013, the ITFDE re-emphasized their opinion that T. solium should be considered eradicable, with the most effective method to interrupt the life cycle being improvement of human sanitation and hygiene, combined with surveillance of porcine infection through tongue inspection [**2]. Many others have made recommendations on the best approaches to control cysticercosis [3-6], but these are not based on evidence arising from well-designed community-randomized controlled trials, despite the call for such studies by the ITFDE [**2]. In addition, no cost-effectiveness or cost-benefit analyses have been conducted to compare alternative control strategies for the simultaneous control of porcine and human cysticercosis [**2].…”

Section: Introductionmentioning

confidence: 99%

“…This resulted in 163 articles, of which 10 reported on original studies assessing the effect of some intervention implemented at the community level on the frequency of porcine or human cysticercosis, neurocysticercosis or human taeniasis [14, 15-23]. We also identified several documents on cysticercosis control, including guidelines [3-4], book chapters [6], and review or opinion papers [5, 24]. The review of these resulted in identifying two additional articles [25, 26].…”

Section: Introductionmentioning

confidence: 99%

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Taenia solium Taeniasis and Cysticercosis Control and Elimination Through Community-Based Interventions

Carabin

Traore

2014

Curr Trop Med Rep

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Taenia solium was declared potentially eradicable by the International Task Force for Disease Eradication in 1992. Yet, very few well-designed community-based randomized controlled trials have been conducted to measure the effectiveness of alternative control strategies. Most strategies have been tested in pre-post intervention designs in very few communities, often without a control group. The only two community-based randomized controlled trials suggest that an educational program alone or a combination of human and porcine mass treatment reduce porcine cysticercosis in the short term. A transmission dynamics model suggests that improved sanitation and pig management are more effective and sustainable than pig vaccination, human or porcine mass treatment. Current evidence does not support the eradication of Taenia solium in the foreseeable future. Investigators should follow international recommendations on the conduct of community-based randomized control trials to provide more valid estimates of the effect and cost-effectiveness of alternative control strategies for cysticercosis.

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Taeniasis and Cysticercosis

Ferrer

Perteguer

2022

Helminth Infections and Their Impact on Global Public Health

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Control of Taenia Solium Transmission of Taeniosis and Cysticercosis in Endemic Countries: The Roles of Continental Networks of Specialists and of Local Health Authorities

Cited by 7 publications

References 106 publications

Overview of Taenia solium cysticercosis in West Africa

Overview of Taenia solium cysticercosis in West Africa

Taenia solium Taeniasis and Cysticercosis Control and Elimination Through Community-Based Interventions

Taeniasis and Cysticercosis

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