Title
Neurocysticercosis control for primary epilepsy prevention: a systematic review
Date Issued
01 January 2022
Access level
open access
Resource Type
review
Author(s)
Wang Z.
Garcia R.M.
Huff H.V.
Niquen-Jimenez M.
Lam S.K.
Stony Brook University Renaissance
Publisher(s)
Taylor and Francis Ltd.
Abstract
Neurocysticercosis (NCC) is a leading cause of preventable epilepsy in lower- and upper- middle-income countries (LMICs/UMICs). NCC is a human-to-human transmitted disease caused by ingestion of Taenia solium eggs from a Taenia carrier. T. solium infection control is the key to reduce NCC incidence. This systematic review aims to identify T. solium control programs that can provide frameworks for endemic areas to prevent NCC-related epilepsy. A systematic search was conducted in PubMed/Medline, Embase, Web of Science, and Cochrane Library databases in March 2021. After title and abstract review, full texts were screened for qualitative analysis. Additional articles were identified via citation search. Of 1322 total results, 34 unique studies were included. Six major intervention types were identified: national policy (8.8%), community sanitation improvement (8.8%), health education (8.8%), mass drug administration (29.4%), pig vaccination and treatment (32.4%), and combined human and pig treatment (11.8%). Overall, 28 (82.4%) studies reported decreased cysticercosis prevalence following the intervention. Only health education and combined human and pig treatment were effective in all selected studies. NCC causes preventable epilepsy in LMICs/UMICs and its incidence can be reduced through T. solium control. Most interventions that disrupt the T. solium transmission cycle are effective. Long-term sustained results require comprehensive programs, ongoing surveillance, and collaborative effort among multisectoral agencies.
Start page
282
End page
296
Volume
116
Issue
5
Language
English
OCDE Knowledge area
Enfermedades infecciosas Neurología clínica
Scopus EID
2-s2.0-85121692680
PubMed ID
Source
Pathogens and Global Health
ISSN of the container
20477724
Sponsor(s)
Research reported in this publication was support from the Fogarty International Center and National Institute of Mental Health, of the National Institutes of Health under Award Number D43 TW010543. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Sources of information: Directorio de Producción Científica Scopus