加纳Sekyere东部地区疥疮爆发调查和治疗:呼吁结束忽视

J. Ofori-Amoah, Sheila Ofori Addai, Oppong Ampratwum, Michael Rockson Adjei, G. Asare, Juliana Adu Mensah, Aziz Obeng, Ziblim Natogmah, Justice Thomas Sevugu, Williams Agyemang-Duah, Job Kusi, Francis Gumah, Y. Ampem Amoako
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摘要

摘要摘要:疥疮是一种被忽视的热带病,通过人与人之间的接触或通过虫媒间接传播。虽然可以预防,但疥疮的负担和感染率仍然是一种威胁,在加纳没有得到足够的重视。本报告介绍了地区卫生管理队在通过病例搜索、治疗、提高认识和宣传运动防治疥疮传播方面采取的积极疾病监测和应对措施的结果。该街道内29所学校的学生和教师以及8个社区的21173人接受了筛查和治疗。总共对2575名学生和教师进行了大规模给药,8个社区的2467名感染患者(11.58%)使用伊维菌素15%和25%苯甲酸苄酯乳剂和硫软膏治疗。由于资源和人员不足,导致地理和治疗覆盖率低,对疫情的应对受到阻碍。此外,需要加强公共教育和卫生工作人员在病例搜索和控制方面的能力建设,因此,地区卫生管理小组呼吁利益攸关方在管理这一局势方面提供支持。
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Scabies outbreak investigation and treatment in the Sekyere East District, Ghana: A call to end the neglect
Abstract Abstract: Scabies is a Neglected Tropical Disease, transmitted from person to person contact and indirectly through fomites. Though preventable, the burden and infection rate of scabies remain a menace with inadequate attention given to it in Ghana. This report presents an outcome of active disease surveillance and response measures undertaken by the District Health Management Team on the fight against the spread of scabies through case search, treatment, awareness creation, and advocacy campaigns. Students and teachers from 29 schools within the Sub District and 21,173 people in 8 communities were targeted for screening and treatment. In all, a mass drug administration was carried on 2,575 students and teachers, and 2,467 infected patients representing 11.58% from the 8 communities were treated using ivermectin 15% and 25% benzyl benzoate emulsion and Sulphur ointment. Response to the outbreak was hampered by inadequate resources and personnel resulting in low geographical and treatment coverage. Also, intensifying public education and health staff capacity building on case search and control is needed and therefore, the District Health Management Team calls for support from stakeholders in managing the situation.
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