Article Dans Une Revue Frontiers in Medicine Année : 2023

Modeling the effectiveness of One Health interventions against the zoonotic hookworm Ancylostoma ceylanicum

Résumé

Hookworm disease is a major global public health concern, annually a ecting million of the world's poorest people. The World Health Organization is targeting the elimination of hookworm as a public health problem by using a strategy of mass drug administration (MDA) to at-risk human populations. However, in Southeast Asia and the Pacific the zoonotic hookworm species, Ancylostoma ceylanicum, is endemic in dogs and commonly infects people. This presents a potential impediment to the e ectiveness of MDA that targets only humans. Here, we develop a novel multi-host (dog and human) transmission model of A. ceylanicum and compare the e ectiveness of human-only and "One Health" (human plus dog) MDA strategies under a range of eco-epidemiological assumptions. We show that One Health interventions-targeting both dogs and humans-could suppress prevalence in humans to ≤ % by the end of , even with only modest coverage (-%) of the animal reservoir. With increasing coverage, One Health interventions may even interrupt transmission. We discuss key unresolved questions on the eco-epidemiology of A. ceylanicum, the challenges of delivering MDA to animal reservoirs, and the growing importance of One Health interventions to human public health.
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hal-04055577 , version 1 (02-04-2023)

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Martin Walker, Sébastien Lambert, M. Inês Neves, Andrew D. Neves, Rebecca Traub, et al.. Modeling the effectiveness of One Health interventions against the zoonotic hookworm Ancylostoma ceylanicum. Frontiers in Medicine, 2023, 10, pp.1092030. ⟨10.3389/fmed.2023.1092030⟩. ⟨hal-04055577⟩
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