The benefits of mass deworming on health outcomes: new evidence synthesis, the debate persists

In this issue of Lancet Global Health magazine, Vivian A Welch and colleagues, through a new systematic review of Campbell and a joint approach to meta-analysis, solve the problem of large-scale swimming of soil borne helminthiasis and schistosomiasis I aim for it. Some of these problems The new function of this analysis is network meta-analysis, Schistosomiasis alone, additional subgroup analysis, and some observational studies, but the latter is of little concern. The main findings are consistent with Cochran 's review: Large - scale soil removal of soil - borne worms does not improve nutrition and cognitive outcomes, registration and mortality, but screening and selective treatment are dependent on child weight It may improve. The authors discovered that large scale defecation of schistosomiasis may slightly increase body weight, but does not increase body weight. Significant effects are significant in most studies including praziquantel and early meta-analysis, but no effect on hemoglobin treatment of schistosomiasis has been suggested. Analysis of the revised effect of Welch and its colleagues' assessment has scarcely increased except for robustness checks and does not solve the main problem of Cochrane evaluation.

This argument is not new and has not changed much in the past 20 years. Even with meta-analysis, it seems unlikely that we can solve these fundamental questions about the measurement content. However, decisions must be made through contradictory evidence and opinions. Middle-low income countries with a wide range of helminthiasis need to decide whether to allocate poor health resources and prioritize large scale defecation over other interventions. Disease management experts believe that both meta-analyzes have found utility in screening for helminthiasis and targeted treatment, but large parasiticides are still a more logistic and viable way to help beneficial people I will point out. . Duflo et al. The only reason for choosing a screening method is that the anthelmintics have an adverse effect on children not infected or that the cost of treating infected children with large exercise is higher than the cost of the individual. Test if children are in need of treatment (in fact, large scale treatment is much cheaper than diagnosis and treatment).

Parasites cause human diseases. Large scale defecation and complementary measures can treat infected individuals, reduce the burden on community level, and prevent new infections. If we accept these premises this epistemological argument about the nature of the evidence converts to a way to optimize the management of these neglected tropical diseases and to identify the specific in many health needs of poor communities Prioritize the practical task of management intervention.

Whether or not to use limited resources in the MDA program has been debated until discussion is limited. It is expected that the burden on individuals and local communities will be reduced by large-scale disinfection and the epidemic will eventually decline. As we move forward, it is important to optimize the management of these diseases and to identify important measures to monitor and plan specific interventions.

Parasites cause human diseases. Large scale defecation and complementary measures can treat infected individuals, reduce the burden on community level, and prevent new infections. If we accept these premises this epistemological argument about the nature of the evidence converts to a way to optimize the management of these neglected tropical diseases and to identify the specific in many health needs of poor communities Prioritize the practical task of management intervention.

In this issue of Lancet Global Health magazine, Vivian A Welch and colleagues, through a new systematic review of Campbell and a joint approach to meta-analysis, solve the problem of large-scale swimming of soil borne helminthiasis and schistosomiasis I aim for it. Some of these problems The new function of this analysis is network meta-analysis, Schistosomiasis alone, additional subgroup analysis, and some observational studies, but the latter is of little concern. The main findings are consistent with Cochran 's review: Large - scale soil removal of soil - borne worms does not improve nutrition and cognitive outcomes, registration and mortality, but screening and selective treatment are dependent on child weight It may improve. The authors discovered that large scale defecation of schistosomiasis may slightly increase body weight, but does not increase body weight.