Strongyloidiasis: the most neglected tropical disease in Ethiopia

Abstract Background Strongyloidiasis is the most neglected of the neglected tropical diseases (NTDs). The aim of this commentary is to describe the possible reasons why strongyloidiasis is so overlooked in Ethiopia, and shed light on better ways of control and elimination of the disease. Main body T...

Full description

Bibliographic Details
Main Authors: Abebaw Tiruneh, Endalew Zemene, Zeleke Mekonnen
Format: Article
Language:English
Published: BMC 2021-05-01
Series:Infectious Diseases of Poverty
Subjects:
Online Access:https://doi.org/10.1186/s40249-021-00851-2
_version_ 1818738264205426688
author Abebaw Tiruneh
Endalew Zemene
Zeleke Mekonnen
author_facet Abebaw Tiruneh
Endalew Zemene
Zeleke Mekonnen
author_sort Abebaw Tiruneh
collection DOAJ
description Abstract Background Strongyloidiasis is the most neglected of the neglected tropical diseases (NTDs). The aim of this commentary is to describe the possible reasons why strongyloidiasis is so overlooked in Ethiopia, and shed light on better ways of control and elimination of the disease. Main body This commentary highlights three points why strongyloidiasis is the most neglected of the NTDs in Ethiopia. Firstly, lack of clear category within the NTDs resulted in omission of the disease from reports, intervention programs, and preventive chemotherapy guidelines. Secondly, magnitude of the disease is underestimated due to paucity of studies and low sensitivity of diagnostic methods coupled with asymptomatic nature of most of the infections. Finally, ivermectin (the drug of choice for treatment of strongyloidiasis) is not in use for control of the other soil-transmitted helminthiasis, nor is there ivermectin mass drug administration for control of strongyloidiasis. This might have created gap in control and elimination of the disease in Ethiopia and possibly elsewhere. Conclusion Strongyloidiasis appears to be the most neglected of the NTDs mainly due to nature of the infection, low sensitivity of the routine diagnostic tools and it’s exclusion from strategic plans and intervention programs. Moreover, studies on strongyloidiasis should use sensitive diagnostic tools. Strongyloidiasis control and elimination programs should be based on reliable evidence of epidemiology of the disease in Ethiopia. Graphic Abstract
first_indexed 2024-12-18T01:06:10Z
format Article
id doaj.art-38ba7c4c573943f09f1824d2070a5fcc
institution Directory Open Access Journal
issn 2049-9957
language English
last_indexed 2024-12-18T01:06:10Z
publishDate 2021-05-01
publisher BMC
record_format Article
series Infectious Diseases of Poverty
spelling doaj.art-38ba7c4c573943f09f1824d2070a5fcc2022-12-21T21:26:13ZengBMCInfectious Diseases of Poverty2049-99572021-05-011011410.1186/s40249-021-00851-2Strongyloidiasis: the most neglected tropical disease in EthiopiaAbebaw Tiruneh0Endalew Zemene1Zeleke Mekonnen2School of Medical Laboratory Sciences, Institute of Health, Jimma UniversitySchool of Medical Laboratory Sciences, Institute of Health, Jimma UniversitySchool of Medical Laboratory Sciences, Institute of Health, Jimma UniversityAbstract Background Strongyloidiasis is the most neglected of the neglected tropical diseases (NTDs). The aim of this commentary is to describe the possible reasons why strongyloidiasis is so overlooked in Ethiopia, and shed light on better ways of control and elimination of the disease. Main body This commentary highlights three points why strongyloidiasis is the most neglected of the NTDs in Ethiopia. Firstly, lack of clear category within the NTDs resulted in omission of the disease from reports, intervention programs, and preventive chemotherapy guidelines. Secondly, magnitude of the disease is underestimated due to paucity of studies and low sensitivity of diagnostic methods coupled with asymptomatic nature of most of the infections. Finally, ivermectin (the drug of choice for treatment of strongyloidiasis) is not in use for control of the other soil-transmitted helminthiasis, nor is there ivermectin mass drug administration for control of strongyloidiasis. This might have created gap in control and elimination of the disease in Ethiopia and possibly elsewhere. Conclusion Strongyloidiasis appears to be the most neglected of the NTDs mainly due to nature of the infection, low sensitivity of the routine diagnostic tools and it’s exclusion from strategic plans and intervention programs. Moreover, studies on strongyloidiasis should use sensitive diagnostic tools. Strongyloidiasis control and elimination programs should be based on reliable evidence of epidemiology of the disease in Ethiopia. Graphic Abstracthttps://doi.org/10.1186/s40249-021-00851-2StrongyloidiasisNeglected tropical diseaseEthiopia
spellingShingle Abebaw Tiruneh
Endalew Zemene
Zeleke Mekonnen
Strongyloidiasis: the most neglected tropical disease in Ethiopia
Infectious Diseases of Poverty
Strongyloidiasis
Neglected tropical disease
Ethiopia
title Strongyloidiasis: the most neglected tropical disease in Ethiopia
title_full Strongyloidiasis: the most neglected tropical disease in Ethiopia
title_fullStr Strongyloidiasis: the most neglected tropical disease in Ethiopia
title_full_unstemmed Strongyloidiasis: the most neglected tropical disease in Ethiopia
title_short Strongyloidiasis: the most neglected tropical disease in Ethiopia
title_sort strongyloidiasis the most neglected tropical disease in ethiopia
topic Strongyloidiasis
Neglected tropical disease
Ethiopia
url https://doi.org/10.1186/s40249-021-00851-2
work_keys_str_mv AT abebawtiruneh strongyloidiasisthemostneglectedtropicaldiseaseinethiopia
AT endalewzemene strongyloidiasisthemostneglectedtropicaldiseaseinethiopia
AT zelekemekonnen strongyloidiasisthemostneglectedtropicaldiseaseinethiopia