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Prospects for the elimination of schistosomiasis and soil-transmitted helminthiasis: exploring disease trends through time at the Barombi crater lakes, South-West Cameroon.

Abstract

In Cameroon, there is a national programme engaged in the control of schistosomiasis and soil-transmitted helminthiasis. In certain locations, the programme is transitioning from morbidity control towards local interruption of parasite transmission. The volcanic crater lake villages of Barombi Mbo and Barombi Kotto are well-known transmission foci and are excellent context-specific locations to assess appropriate disease control interventions. Most recently they have served as exemplars of expanded access to deworming medications and increased environmental surveillance. In this paper, we review infection dynamics through time, beginning with data from 1953, and comment on the short- and long-term success of disease control. We show how intensification of local control is needed to push towards elimination and that further environmental surveillance, with targeted snail control, is needed to consolidate gains in preventive chemotherapy as well as empower local communities to take ownership of interventions.

More information

Type
Journal Article
Author
Tchuem Tchuenté L A
Ombede ED R
Noumedem DC
Chuinteu DG N
Nono FB
Lemegne NA C
Membe FU
Gipwe FN
Kenfack C M
Ngang S K
Tchoumdop NM E
Cunningham L J
Stothard J R
Year of Publication
2018
Journal
Parasitology
Number of Pages
1-15
Language
eng
ISSN Number
1469-8161
DOI
10.1017/S0031182018001531
Alternate Journal
Parasitology
Publication Language
eng