Évaluation de l'infection par Schistosoma mansoni sur l'île de Nkombo, au Rwanda
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Au Rwanda, un programme de lutte contre les maladies tropicales n�glig�es (MTN) a �t� lanc� en 2007 et la cartographie initiale a �t� termin�e en 2008 avant de commencer la distribution massive de m�dicaments (DMD) contre la schistosomiase (S. mansoni) et les helminthes transmis par le sol (HTS). Ce travail montre les donn�es sur S. mansoni dans une zone qui avait �t� initialement laiss�e de c�t� de la DMD � cause de la cartographie initiale. En 2011, les enfants de l'�le de Nkombo, dans un district qui �tait avant class� comme peu end�mique pour S. mansoni, ont �t� test�s pour S. mansoni (et les STH) avec la m�thode Kato-Katz. La pr�valence de S. mansoni (et des STH) a �t� mesur�e. Au total, 331 �coliers �g�s de 10 � 19 ans ont particip�. La pr�valence de S. mansoni s'est av�r�e �tre de 62,1 %, allant de 28,6 % � 77,9 % selon les �coles. La pr�valence de S. mansoni chez les �coliers de Nkombo s'est av�r�e �lev�e. Un traitement m�dicamenteux de masse r�gulier au praziquantel pour tous les enfants d'�ge scolaire et les adultes de l'�le est justifi�. Pour un contr�le efficace, la strat�gie actuelle de cartographie scolaire (directives de l'OMS) n'est pas suffisante pour identifier tous les points chauds et devrait donc �tre r�vis�e ou compl�t�e par des enqu�tes communautaires localis�es dans les zones o� l'infection est susceptible de se produire, mais o� les donn�es disponibles n'indiquent pas de traitement m�dicamenteux de masse.
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