Neglected Tropical Diseases of Oceania: Review of Their Prevalence, Distribution, and Opportunities for Control

被引:75
作者
Kline, Kevin [1 ,2 ,3 ,4 ,5 ]
McCarthy, James S. [6 ]
Pearson, Mark [7 ]
Loukas, Alex [7 ]
Hotez, Peter J. [1 ,2 ,3 ,4 ,5 ]
机构
[1] Baylor Coll Med, Dept Pediat, Houston, TX 77030 USA
[2] Baylor Coll Med, Dept Mol Virol & Microbiol, Houston, TX 77030 USA
[3] Baylor Coll Med, Natl Sch Trop Med, Houston, TX 77030 USA
[4] Baylor Coll Med, Ctr Vaccine Dev, Sabin Vaccine Inst, Houston, TX 77030 USA
[5] Baylor Coll Med, Ctr Vaccine Dev, Texas Childrens Hosp, Houston, TX 77030 USA
[6] Univ Queensland, Queensland Inst Med Res, Clin Trop Med Lab, Brisbane, Qld, Australia
[7] James Cook Univ, Ctr Biodiscovery & Mol Dev Therapeut, Cairns, Qld, Australia
关键词
PAPUA-NEW-GUINEA; TRANSMITTED HELMINTH INFECTIONS; RIVER-VIRUS-DISEASE; VIBRIO-CHOLERAE O1; NEW-ZEALAND; HOOKWORM INFECTION; GASTROINTESTINAL-DISEASE; CHANGING EPIDEMIOLOGY; JAPANESE ENCEPHALITIS; ABORIGINAL COMMUNITY;
D O I
10.1371/journal.pntd.0001755
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Among Oceania's population of 35 million people, the greatest number living in poverty currently live in Papua New Guinea (PNG), Fiji, Vanuatu, and the Solomon Islands. These impoverished populations are at high risk for selected NTDs, including Necator americanus hookworm infection, strongyloidiasis, lymphatic filariasis (LF), balantidiasis, yaws, trachoma, leprosy, and scabies, in addition to outbreaks of dengue and other arboviral infections including Japanese encephalitis virus infection. PNG stands out for having the largest number of cases and highest prevalence for most of these NTDs. However, Australia's Aboriginal population also suffers from a range of significant NTDs. Through the Pacific Programme to Eliminate Lymphatic Filariasis, enormous strides have been made in eliminating LF in Oceania through programs of mass drug administration (MDA), although LF remains widespread in PNG. There are opportunities to scale up MDA for PNG's major NTDs, which could be accomplished through an integrated package that combines albendazole, ivermectin, diethylcarbamazine, and azithromycin, in a program of national control. Australia's Aboriginal population may benefit from appropriately integrated MDA into primary health care systems. Several emerging viral NTDs remain important threats to the region.
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页数:9
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