{"id":159,"date":"2014-08-29T13:22:18","date_gmt":"2014-08-29T13:22:18","guid":{"rendered":"http:\/\/imperialighi.wordpress.com\/2014\/08\/29\/sci-needs-to-expand-coverage-to-help-treat-100-million-children-a-year-against-bilharzia-schistosomiasis-and-worms\/"},"modified":"2019-03-29T11:03:43","modified_gmt":"2019-03-29T11:03:43","slug":"sci-needs-to-expand-coverage-to-help-treat-100-million-children-a-year-against-bilharzia-schistosomiasis-and-worms","status":"publish","type":"post","link":"https:\/\/blogs.imperial.ac.uk\/ighi\/2014\/08\/29\/sci-needs-to-expand-coverage-to-help-treat-100-million-children-a-year-against-bilharzia-schistosomiasis-and-worms\/","title":{"rendered":"SCI needs to expand coverage to help treat 100 million children a year against bilharzia (schistosomiasis) and worms."},"content":{"rendered":"<p><em>By <a href=\"http:\/\/www.imperial.ac.uk\/AP\/faces\/pages\/read\/Home.jsp?person=a.fenwick&amp;_adf.ctrl-state=43nv9g750_3&amp;_afrRedirect=168596530469580\">Professor Alan Fenwick OBE<\/a>, Director of SCI (Schistosomiasis Control Initiative), Imperial College, London)<\/em><\/p>\n<figure id=\"attachment_157\" aria-describedby=\"caption-attachment-157\" style=\"width: 150px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/imperialighi.files.wordpress.com\/2014\/08\/schisto-worm.jpg\"><img decoding=\"async\" class=\"wp-image-157\" src=\"http:\/\/imperialighi.files.wordpress.com\/2014\/08\/schisto-worm.jpg?w=300\" alt=\"A schistosomiasis worm\" \/><\/a><figcaption id=\"caption-attachment-157\" class=\"wp-caption-text\">A schistosomiasis worm<\/figcaption><\/figure>\n<p><a href=\"http:\/\/www.nhs.uk\/conditions\/schistosomiasis\/Pages\/Introduction.aspx\">Schistosomiasis<\/a> is a type of infection caused by parasites that live in fresh water, such as rivers or lakes, in subtropical and tropical regions worldwide. \u00a0It is also known as bilharzia.<\/p>\n<p>The <a href=\"http:\/\/www3.imperial.ac.uk\/schisto\">Schistosomiasis Control Initiative<\/a> (SCI) at <a href=\"http:\/\/www3.imperial.ac.uk\/\">Imperial College London<\/a>\u00a0supports Ministries of Health and Education in 16 countries to deliver medicines to treat people infected with schistosomiasis and three intestinal worms. The medicines are donated by various pharmaceutical companies, <a href=\"http:\/\/www.merckgroup.com\/en\/index.html\">Merck KgGA<\/a> (praziquantel), <a href=\"http:\/\/uk.gsk.com\/en-gb\/\">GSK<\/a> (albendazle) and <a href=\"http:\/\/www.jnj.com\/\">Johnson and Johnson<\/a> (mebendazole), and for the most part, the targets are school aged children.<\/p>\n<figure id=\"attachment_158\" aria-describedby=\"caption-attachment-158\" style=\"width: 240px\" class=\"wp-caption alignright\"><a href=\"http:\/\/imperialighi.files.wordpress.com\/2014\/08\/treating-children.jpg\"><img decoding=\"async\" class=\"wp-image-158\" src=\"http:\/\/imperialighi.files.wordpress.com\/2014\/08\/treating-children.jpg?w=300\" alt=\"Treating children for schistosomiasis\" \/><\/a><figcaption id=\"caption-attachment-158\" class=\"wp-caption-text\">Treating children for schistosomiasis<\/figcaption><\/figure>\n<p>The SCI\u2019s role includes advocacy at all levels in the countries from Ministers down\u00a0through regional officials to\u00a0teachers and health staff who deliver the medicines. These medicines are safe to swallow and effective. For the most part they are delivered annually through schools or through communities. We assist the countries with mapping so that the geographical distribution of the diseases is known, and then with preparing medicine donation requests.<!--more--><\/p>\n<p>We have just finished mapping Ethiopia where over 3,500 schools were visited and children were tested, and in Burundi and Rwanda where 350 schools in each country were visited and children tested. We assist with transportation of the medicines, training of teachers where necessary, and collection of baseline data and follow up data to allow us to report back to donors on the success of the campaigns in each country.<\/p>\n<p>During 2013, we passed the milestone of having delivered over 100 million treatments against schistosomiasis since 2003, and with funding from <a href=\"https:\/\/www.gov.uk\/government\/organisations\/department-for-international-development\">DFID<\/a> we are committed to supporting the delivery of another 200 million treatments by 2018.<\/p>\n<figure id=\"attachment_155\" aria-describedby=\"caption-attachment-155\" style=\"width: 240px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/imperialighi.files.wordpress.com\/2014\/08\/drugs-shipping-out-to-regions_niger.jpg\"><img decoding=\"async\" class=\"wp-image-155\" src=\"http:\/\/imperialighi.files.wordpress.com\/2014\/08\/drugs-shipping-out-to-regions_niger.jpg?w=300\" alt=\"\" \/><\/a><figcaption id=\"caption-attachment-155\" class=\"wp-caption-text\">Delivering the medicine to Niger<\/figcaption><\/figure>\n<p>So with DFID funding available, why do we need to expand coverage and what does that mean in terms of funding?\u00a0 Well, the Merck KgGA donation of praziquantel against schistosomiasis has been increased \u2013 from 20 million tablets per year in 2008 to 120 million tablets in 2015 and 250 million tablets annually from 2016. 250 million tablets of praziquantel are enough to treat 100 million children. To date, in our best year, we have treated 30 million and so expansion is essential. For the first time, the availability of donated medicines will exceed the funding available to deliver them. We reckon it costs us 50 pence per child to effectively run a programme in sub Saharan Africa and so a staggering \u00a350 million is going to be needed per year from 2016 to 2020. There are some funds already available from DFID and <a href=\"http:\/\/www.usaid.gov\/\">USAID<\/a>, but for SCI to ensure that these medicines are not wasted, we believe that we will need to raise an additional \u00a32 million this year and \u00a310 million subsequently.<\/p>\n<figure id=\"attachment_156\" aria-describedby=\"caption-attachment-156\" style=\"width: 120px\" class=\"wp-caption alignright\"><a href=\"https:\/\/imperialighi.files.wordpress.com\/2014\/08\/infected-child.jpg\"><img decoding=\"async\" class=\"wp-image-156\" src=\"http:\/\/imperialighi.files.wordpress.com\/2014\/08\/infected-child.jpg?w=200\" alt=\"A child infected with schistosomiasis\" \/><\/a><figcaption id=\"caption-attachment-156\" class=\"wp-caption-text\">A child infected with schistosomiasis<\/figcaption><\/figure>\n<p>But if we can deliver these medicines, imagine the effect on the health of the children in Africa. They are currently ravaged by parasitic infections which cause stunting, malnutrition, and liver and bladder diseases.\u00a0 For just an extra \u00a310 million per year, we will improve the health of 100 million school aged children, improve their quality of life, education and prospects of growing into healthy adults.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Professor Alan Fenwick OBE, Director of SCI (Schistosomiasis Control Initiative), Imperial College, London) Schistosomiasis is a type of infection caused by parasites that live in fresh water, such as rivers or lakes, in subtropical and tropical regions worldwide. \u00a0It is also known as bilharzia. The Schistosomiasis Control Initiative (SCI) at Imperial College London\u00a0supports Ministries [&hellip;]<\/p>\n","protected":false},"author":1060,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[397],"tags":[],"class_list":["post-159","post","type-post","status-publish","format-standard","hentry","category-infection"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>SCI needs to expand coverage to help treat 100 million children a year against bilharzia (schistosomiasis) and worms. - Institute of Global Health Innovation<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.imperial.ac.uk\/ighi\/2014\/08\/29\/sci-needs-to-expand-coverage-to-help-treat-100-million-children-a-year-against-bilharzia-schistosomiasis-and-worms\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"SCI needs to expand coverage to help treat 100 million children a year against bilharzia (schistosomiasis) and worms. - Institute of Global Health Innovation\" \/>\n<meta property=\"og:description\" content=\"By Professor Alan Fenwick OBE, Director of SCI (Schistosomiasis Control Initiative), Imperial College, London) Schistosomiasis is a type of infection caused by parasites that live in fresh water, such as rivers or lakes, in subtropical and tropical regions worldwide. \u00a0It is also known as bilharzia. 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