Parasite elimination programs: at home and away

McCarthy, James S.; Garrow, Stuart C

doi:10.5694/j.1326-5377.2002.tb04513.x

Cited by 11 publications

(13 citation statements)

References 9 publications

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“…Rural and remote communities are the most affected [3], [18]; mainly in children; and those immunocompromised with a number of cases of fatality reported [15], [22], [40], [41]. Studies in 2002 and 2005 report there are limited published examples of community interventions in Australia to control strongyloidiasis [7], [52]. Johnston, Morris, Speare, et al [7] found no evidence of studies examining roles of environmental interventions and expressed the need to do so.…”

Section: Discussionmentioning

confidence: 99%

Strongyloides stercoralis: Systematic Review of Barriers to Controlling Strongyloidiasis for Australian Indigenous Communities

et al. 2014

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Background Strongyloides stercoralis infects human hosts mainly through skin contact with contaminated soil. The result is strongyloidiasis, a parasitic disease, with a unique cycle of auto-infection causing a variety of symptoms and signs, with possible fatality from hyper-infection. Australian Indigenous community members, often living in rural and remote settings, are exposed to and infected with S. stercoralis. The aim of this review is to determine barriers to control of strongyloidiasis. The purpose is to contribute to the development of initiatives for prevention, early detection and effective treatment of strongyloidiasis.Methodology/Principle FindingsSystematic search reviewing research published 2012 and earlier was conducted. Research articles discussing aspects of strongyloidiasis, context of infection and overall health in Indigenous Australians were reviewed. Based on the PRISMA statement, the systematic search of health databases, Academic Search Premier, Informit, Medline, PubMed, AMED, CINAHL, Health Source Nursing and Academic was conducted. Key search terms included strongyloidiasis, Indigenous, Australia, health, and community. 340 articles were retrieved with 16 original research articles published between 1969 and 2006 meeting criteria. Review found barriers to control defined across three key themes, (1) health status, (2) socioeconomic status, and (3) health care literacy and procedures.Conclusions/SignificanceThis study identifies five points of intervention: (1) develop reporting protocols between health care system and communities; (2) test all Indigenous Australian patients, immunocompromised patients and those exposed to areas with S. stercoralis; (3) health professionals require detailed information on strongyloidiasis and potential for exposure to Indigenous Australian people; (4) to establish testing and treatment initiatives within communities; and (5) to measure and report prevalence rates specific to communities and to act with initiatives based on these results. By defining barriers to control of strongyloidiasis in Australian Indigenous people, improved outcomes of prevention, treatment of strongyloidiasis and increased health overall are attainable.

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Section: Discussionmentioning

confidence: 99%

Strongyloides stercoralis: Systematic Review of Barriers to Controlling Strongyloidiasis for Australian Indigenous Communities

et al. 2014

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“…Chemotherapy of groups most at risk of infection has been recommended internationally. 50 A systematic approach to parasite control has been advocated for Australia 51 but published examples of community interventions to control strongyloidiasis are limited. We found no studies examining the role of environmental interventions.…”

Section: Community Control Strategiesmentioning

confidence: 99%

“…52 In Australia there are examples of successful community control programs for hookworm and scabies. 51 However, these have usually involved treatment of all children or entire communities without requiring the collection of diagnostic specimens. There is currently insufficient information to determine if either serology or clinical symptomatology might have a role as population screening tools for strongyloidiasis.…”

Section: Community Control Strategiesmentioning

confidence: 99%

Strongyloidiasis: A review of the evidence for Australian practitioners

Johnston

Morris

Speare

et al. 2005

Australian J Rural Health

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There is a high prevalence in many Aboriginal communities. Strongyloides infection should be excluded prior to commencing immunosuppressive therapies in patients from endemic areas. Further studies examining the public health impact of strongyloidiasis, the role of the enzyme-linked immuno-sorbent assay serological test and population-based approaches to management of the disease in endemically infected Australian populations are needed.

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“…To the Editor : The recent editorial by McCarthy and Garrow 1 eloquently articulates a case for a coordinated national approach to controlling parasite infections in Aboriginal populations, based predominantly on the authors' experience with chemotherapeutic intervention in one remote community in Western Australia.…”

mentioning

confidence: 99%

“…In support of their case, McCarthy and Garrow presented lymphatic filariasis in Australia as but one successful precedent, implying that it was eradicated “through sustained control programs conducted by dedicated public health agencies … using effective drugs” 1 . This is not supported by historical facts; the disease did disappear from endemic areas, but well before effective chemotherapy became available, and for reasons that are still debatable 4 (although mosquito suppression, resulting more from general improvements in living conditions with rising community affluence than from any coordinated activity, is the most likely explanation).…”

mentioning

confidence: 99%