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Supporting countries in their cysticercosis control efforts

WHO has been asked by countries affected with cysticercosis, to support their efforts in controlling the parasite and improving the clinical management of patients with neurocysticercosis.   

Donation of taenicides

The efforts in controlling the disease are mainly aimed at breaking the cycle of active transmission of the parasite. An important component of this strategy is the treatment of patients that harbor the tapeworm Taenia solium. This is most often undertaken by implementing preventive chemotherapy (mass drug administration or MDA) to reach all the eligible population. The most effective drugs at a single dose are praziquantel and niclosamide.  However, until now, these drugs were not easily available in many countries wishing to control the disease.  Under the umbrella of universal health coverage, and with the aim of providing access to quality medicines, WHO has negotiated with Bayer the donation of these two drugs which are now available for the control of T. solium through the WHO.

 

Identification of endemic areas (mapping)

Cysticercosis is a focal disease, affecting the poorest communities in which basic sanitation is deficient and pigs roam free. One of the first steps to control the disease is to identify those communities or endemic areas where control measures need to be implemented. WHO is assisting countries by providing protocols for mapping (identifying the endemic or high risk areas), as well as assisting countries such as Cambodia in training of diagnostic techniques that can be used for mapping.

 

 

30%

Neurocysticercosis is estimated to cause 30% of all epilepsy cases in T. solium endemic countries

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2.8 million

DALYs

According to WHO FERG, T. solium is a leading cause of deaths from food-borne diseases.

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One Health

Cross-sectorial collaboration is key to successfully control T. solium infections.

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Relevant publications

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Implementing Taenia solium control programmes in countries: monitoring and evaluation framework
This document aims to provide best practice on monitoring and evaluation of Taenia solium, as part of the World Health Organization’s (WHO) effort to develop...
Mapping protocol for Taenia solium: identification of endemic and high-risk areas

The mapping tool for Taenia solium has three companion elements: this document, the Mapping Protocol; an Excel document, the Risk Classification Tool;...

Early detection and management of neurological serious adverse events in relation to the administration of anthelminthic medicines to people with asymptomatic neurocysticercosis

Preventive anthelminthic chemotherapy programmes involving the administration of praziquantel or albendazole are used to control various neglected parasitic...

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Dr. Bernadette Abela-Ridder
Technical officer