Publications by authors named "Jurg Utzinger"

Background: Elimination of schistosomiasis as a public health problem and interruption of transmission in selected areas are goals set by the World Health Organization for 2030. Behaviour change communication (BCC), coupled with other interventions, is considered an essential measure to reduce the transmission of Schistosoma infection. Focusing on elimination, we assessed the 1-year impact of BCC interventions on schistosomiasis-related knowledge, attitude and practices (KAP) of schoolchildren in hotspot schools versus low-prevalence schools that did not receive the interventions.

View Article and Find Full Text PDF

There is a pressing need for transitional water infrastructures in rapidly growing cities where conventional infrastructures lag behind human settlement expansion. In Kenya, sectoral innovations have addressed local socioeconomic challenges, but empirical evidence on their efficacy (combining quantitative indicators of safety and continuity) is lacking. We addressed this gap by comparing different water infrastructures in their ability to provide constant access to safe water in informal settlements in Nairobi, Kenya.

View Article and Find Full Text PDF

Trichuris trichiura is one of four soil-transmitted helminth species that, collectively, are responsible for a considerable public health burden. The World Health Organization recommends preventive chemotherapy as the main intervention to eliminate soil-transmitted helminthiasis as a public health problem. Clinical trials estimated the efficacy of different drugs and treatment regimen against T.

View Article and Find Full Text PDF
Article Synopsis
  • Schistosomiasis is a significant public health issue in sub-Saharan Africa, linked to poverty and environmental conditions; this study aimed to assess the prevalence of Schistosoma mansoni and how water-related activities impact disease spread.
  • The cross-sectional study conducted in western Côte d'Ivoire involved 1602 stool samples and 1729 urine samples from children aged 5-14, alongside observations of water activities and interviews with local leaders and health workers.
  • Results showed a 27.4% prevalence of S. mansoni, with higher rates found in certain health districts; children aged 9-14 were at greater risk, particularly in environments where water-related activities occurred, such as washing clothes near contamination sources.
View Article and Find Full Text PDF

Background: Despite global efforts to reduce and eventually interrupt malaria transmission, the disease remains a pressing public health problem, especially in sub-Saharan Africa. This study presents a detailed spatio-temporal analysis of malaria transmission in Rwanda from 2012 to 2022. The main objective was to gain insights into the evolving patterns of malaria and to inform and tailor effective public health strategies.

View Article and Find Full Text PDF

Background: Malaria remains an important public health problem, particularly in sub-Saharan Africa. In Rwanda, where malaria ranks among the leading causes of mortality and morbidity, disease transmission is influenced by climatic factors. However, there is a paucity of studies investigating the link between climate change and malaria dynamics, which hinders the development of effective national malaria response strategies.

View Article and Find Full Text PDF

Neglected and underutilized species of plants (NUS) have been identified by the Food and Agriculture Organization as valuable resources for fighting poverty, hunger and malnutrition as they can help make agricultural production systems more sustainable and resilient. Adaptation of NUS to changing environments over several millennia has rendered most of these plants resistant to pests and climate change. In this paper, we explore the potential values of some of the Mayan fruit trees justifying conservation efforts in their native habitats.

View Article and Find Full Text PDF

Prior research has highlighted important healthcare access and utilization issues among new forced immigrants. We aimed to explore the role that public and patient involvement (PPI) might play in enhancing accessibility and specific contributions to migration health studies. We conducted open and in-depth interactive virtual discussions with asylum seekers and refugees from Eritrea and Syria in Switzerland.

View Article and Find Full Text PDF

There is growing evidence that climate change adversely affects human health. Multiple diseases are sensitive to climate change, including cardiovascular diseases (CVDs), which are also the leading cause of death globally. Countries such as India face a compounded challenge, with a growing burden of CVDs and a high vulnerability to climate change, requiring a co-ordinated, multi-sectoral response.

View Article and Find Full Text PDF

and other intestinal helminth infections remain public health concerns in Lao People's Democratic Republic, especially in remote areas where access to sanitation is limited. We performed an experimental study in four villages where latrine construction was coupled with two rounds of mass drug administration (MDA) with praziquantel and albendazole, and compared with two control villages that only received two rounds of MDA. The prevalence of helminth infections before (baseline) and after (follow-up) intervention were compared.

View Article and Find Full Text PDF

The elimination of schistosomiasis as a public health problem by 2030 is one of the main goals put forth in the World Health Organization's roadmap for neglected tropical diseases. This study aimed to compare different sampling approaches to guide mapping and preventive chemotherapy. A cross-sectional parasitological survey was conducted from August to September 2022 in the health districts of Biankouma, Ouaninou, and Touba in the western part of Côte d'Ivoire.

View Article and Find Full Text PDF

Background: Liver diseases of infectious and non-infectious etiology cause considerable morbidity and mortality, particularly in low- and middle-income countries (LMICs). However, data on the prevalence of liver diseases and underlying risk factors in LMICs are scarce. The objective of this study was to elucidate the occurrence of infectious diseases among individuals with chronic liver damage in a rural setting of Côte d'Ivoire.

View Article and Find Full Text PDF
Article Synopsis
  • * Conducted between June and August 2023, the study screened patients for S. haematobium infection at four health facilities on Pemba Island and gathered insights from healthcare staff regarding their knowledge and practices related to the disease.
  • * Results revealed a low infection rate of 1.1% among screened patients, but notable pelvic pain was reported. Healthcare staff demonstrated a good understanding of symptoms and treatment methods, indicating a need for enhanced resources for effective diagnosis and management of schistosomiasis.
View Article and Find Full Text PDF
Article Synopsis
  • Childhood undernutrition significantly impacts health and education in low- and middle-income countries, particularly in Tanzania, where a study assessed stunting, wasting, and underweight among schoolchildren.
  • The study surveyed 930 children aged 6-12 years and found stunting (11.8%), wasting (4.3%), and underweight (3.9%), with factors like age, dietary diversity, malaria, and anaemia influencing these conditions.
  • Results highlighted the need for targeted health and nutrition programs in schools for children over 5 years to improve their nutritional status and overall well-being.
View Article and Find Full Text PDF

In contrast to acute diarrhoea, the aetiology of persistent digestive disorders (≥ 14 days) is poorly understood in low-resource settings and conventional diagnostic approaches lack accuracy. In this multi-country study, we compared multiplex real-time PCR for enteric bacterial, parasitic and viral pathogens in stool samples from symptomatic patients and matched asymptomatic controls in Côte d'Ivoire, Mali and Nepal. Among 1826 stool samples, the prevalence of most pathogens was highest in Mali, being up to threefold higher than in Côte d'Ivoire and up to tenfold higher than in Nepal.

View Article and Find Full Text PDF

Objectives: In 2008, an analysis investigating health impact assessment (HIA) practice found that only 6% of HIA-related peer-reviewed publications had a focus on low- and medium-developed countries, whereas 94% were conducted in countries with a high or very high development state. We aimed to update and deepen these observations.

Methods: We conducted a systematic review, searching PubMed and Web of Science for HIA-related papers published in the scientific literature from June 2007 to January 2023.

View Article and Find Full Text PDF

Background: Despite the uncontested benefits of physical activity, its promotion lags behind in the public health agenda of low- and middle-income countries (LMICs). School-based interventions are promising strategies to foster health during childhood, but evidence of their effectiveness is limited and inconclusive for LMICs. Thus, further investigation is needed on contextual factors associated with intervention implementation in low-resource settings.

View Article and Find Full Text PDF

Medicine development is a lengthy endeavour. Increasing regulatory stringency and trial complexity might lead to reduced efficiency, dwindled output, and elevated costs. However, alternative models are possible.

View Article and Find Full Text PDF

Background: Schistosomiasis is a water-based parasitic disease that affects humans, livestock and wild animals. While considerable resources are dedicated to the surveillance, disease mapping, control and elimination of human schistosomiasis, this is not the case for livestock schistosomiasis. Indeed, there are important data and knowledge gaps concerning the species present, population genetic diversity, infection prevalence, morbidity and economic impact.

View Article and Find Full Text PDF
Article Synopsis
  • Accurate diagnosis of schistosomiasis is essential for control and elimination strategies, with traditional methods like microscopy and Kato-Katz considered reference tests, though less sensitive in low-endemic areas.* -
  • A systematic review involving 121 studies investigated the accuracy of various diagnostic techniques for Schistosoma infections compared to Kato-Katz and urine microscopy, focusing on different age groups.* -
  • The findings revealed that the circulating cathodic antigen urine test (CCA1) showed high sensitivity for S. mansoni (95%) and reasonable specificity (74%), while ELISA tests also performed similarly in detection.*
View Article and Find Full Text PDF

Background: Immunomodulatory processes exert steering functions throughout pregnancy. Detecting diversions from this physiologic immune clock may help identify pregnant women at risk for pregnancy-associated complications. We present results from a data-driven selection process to develop a targeted panel of mRNAs that may prove effective in detecting pregnancies diverting from the norm.

View Article and Find Full Text PDF

Background: In Burkina Faso, the prevalence of malaria has decreased over the past two decades, following the scale-up of control interventions. The successful development of malaria parasites depends on several climatic factors. Intervention gains may be reversed by changes in climatic factors.

View Article and Find Full Text PDF

Introduction: Physical activity (PA) promotion combined with multimicronutrient supplementation (MMNS) among school-age children may reduce fat mass accrual and increase muscle mass through different mechanisms and so benefit child health. This study determined the efficacy of combined interventions on body composition among South African schoolchildren and determined if micronutrients mediate these effects.

Study Design: Longitudinal cluster randomized controlled trial of children followed from 2019 to 2021.

View Article and Find Full Text PDF