Barriers to participation in a community-based program to control transmission of Taenia solium in Peru

García Lescano, Héctor Hugo; O'Neal, Seth E.; Ayvar, Viterbo; Cysticercosis Working Group in Peru; Spencer, Angela; Fernandez, Lauralee; Olaya, Sandra; Beam, Michelle; Atto, Ruth; Muro Ecca, Claudio Alberto; Vilchez Barreto, Percy Mcquen; Gamboa Morán, Ricardo; Gonzalez Zariquiey, Armando Emiliano

dc.contributor.author	Beam, Michelle
dc.contributor.author	Spencer, Angela
dc.contributor.author	Fernandez, Lauralee
dc.contributor.author	Atto, Ruth
dc.contributor.author	Muro Ecca, Claudio Alberto
dc.contributor.author	Vilchez Barreto, Percy Mcquen
dc.contributor.author	Gamboa Morán, Ricardo
dc.contributor.author	Olaya, Sandra
dc.contributor.author	Ayvar, Viterbo
dc.contributor.author	Gonzalez Zariquiey, Armando Emiliano
dc.contributor.author	García Lescano, Héctor Hugo
dc.contributor.author	O'Neal, Seth E.
dc.contributor.author	Cysticercosis Working Group in Peru
dc.date.accessioned	2018-11-30T02:09:30Z
dc.date.available	2018-11-30T02:09:30Z
dc.date.issued	2018
dc.identifier.uri	https://hdl.handle.net/20.500.12866/4014
dc.description.abstract	Infection of the brain with Taenia solium larvae (neurocysticercosis) is a leading cause of preventable epilepsy worldwide. Effective and sustainable strategies to control parasite transmission in rural endemic communities are needed to prevent the disease. Surveillance and targeted intervention around infected pigs (ring control strategy) have been shown to be effective when carried out by research teams. However, this strategy has not been implemented or tested as a community-based program. In this small trial in northern Peru, eight villages were randomly assigned to community-led surveillance and treatment (five villages, 997 residents) or control (three villages, 1,192 residents). In intervention villages, community-led surveillance and reporting were promoted by community health workers, radio advertisement, and school and household education. Each suspected pig infection was verified, with confirmed cases resulting in treatment with niclosamide for taeniasis and oxfendazole for pigs in clusters of homes nearby. No incentives beyond human and pig treatment were offered. Control villages received basic disease education but no treatment intervention in response to reports. Despite 14 case reports, community-based replication of ring control strategy did not replicate prior results. After 12 months, there was no change in seroincidence in intervention villages between the baseline and study end, and no difference compared with control villages. There was no difference in prevalence of taeniasis or porcine cysticercosis at study end. Community members described lack of knowledge as the main reason for not reporting infected pigs. Further exploration of methods to transfer ring strategy and other control interventions for cysticercosis to the community is needed.	en_US
dc.language.iso	eng
dc.publisher	American Society of Tropical Medicine and Hygiene
dc.relation.ispartofseries	American Journal of Tropical Medicine and Hygiene (ASTMH Journal)
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.subject	Barriers	en_US
dc.subject	Community-Based Program	en_US
dc.subject	Control Transmission	en_US
dc.subject	Taenia solium	en_US
dc.subject	Peru	en_US
dc.title	Barriers to participation in a community-based program to control transmission of Taenia solium in Peru	en_US
dc.type	info:eu-repo/semantics/article
dc.identifier.doi	https://doi.org/10.4269/ajtmh.17-0929
dc.subject.ocde	https://purl.org/pe-repo/ocde/ford#3.03.06
dc.relation.issn	1476-1645