Publications by authors named "Carlotta Carboni"
Several countries of the Guiana Shield are aiming at the control and elimination of malaria in areas where Artisanal and Small-scale Gold Mining (ASGM) activities predominate, raising questions about how to strengthen community engagement to improve the effectiveness of health programs. The Curema project focuses its intervention on the mobile and hard-to-reach ASGM population, complementing the efforts of national programs in the Guiana Shield. The Curema intervention combines targeted drug administration for suspected asymptomatic carriers, the Malakit distribution, and health education activities.
View Article and Find Full Text PDFArticle Synopsis
- The text discusses the challenges of malaria elimination in isolated and mobile populations, particularly those involved in informal activities, with a specific focus on Plasmodium vivax, which requires special treatment to prevent relapses.
- It introduces the CUREMA study, an international public health research project targeting artisanal gold miners in the Amazon, who are often hard to reach for healthcare.
- The CUREMA project includes health education, targeted treatment for at-risk individuals, and the distribution of self-testing and self-treatment kits to manage malaria symptoms in remote areas.
To eliminate malaria, all populations must be included. For those who are not reached by the health care system, specific interventions must be tailor-made. An innovative Malakit strategy, based on the distribution of self-diagnosis and self-treatment kits, has been evaluated in the Suriname-French Guiana- Amapá (Brazil) region.
View Article and Find Full Text PDFIntroduction: An innovative and community-based intervention is implemented in the Guiana Shield to eliminate malaria among people involved in artisanal and small-scale gold mining. The intervention consists of the distribution of malaria self-management kits to goldminers and the presumptive treatment for individuals at risk of carrying hypnozoites. The intervention is possible owing to community health workers (CHWs) who are previously trained to master all intervention procedures, including health education activities and goldmining training.
View Article and Find Full Text PDFBackground & Aims: Baveno VI criteria enabled the screening of varices needing treatment (VNT) without endoscopy but created confusion by not stating the method used to calculate the 5% missed VNT limit, resulting in different calculations across validation studies. We analysed those calculations to clarify their diagnostic meaning.
Methods: (a) Literature review and recalculation of the missed VNT rates according to the three definitions encountered.