Abstract
Challenges in prevention and control of schistosomiasis in the Sudan
Highlights
The World Health Organization (WHO) estimated that 200 million people are infected with schistosomiasis and 600 million are at risk of infection in more than 76 countries[1]
The BNHP (1979— 1990) was a great success story in the history of control of water associated diseases[23,24]. This success could not be sustained due to lack of funding and shortages in public health infrastructure and the mission was unaccomplished after termination of funding in Rahad and Gezira\ Manigle zones[25]
Vertical campaigns are no longer appropriate .Since the late 1970s, when morbidity control became the preferred strategy, schistosomiasis control programmes have increasingly been integrated into primary health care settings and schools[26,27]
Summary
The World Health Organization (WHO) estimated that 200 million people are infected with schistosomiasis and 600 million are at risk of infection in more than 76 countries[1]. When morbidity control became the preferred strategy, schistosomiasis control programmes have increasingly been integrated into primary health care settings and schools[5,6,7]. The history of scistosomiasis in the Sudan was reviewed by several workers[8, 9] within the whole of the Sudan there has been over the last ten years a serious increase in endemicity and prevalence of both Schistosoma mansoni and S. haematobium infections as a result of progressive expansion in water resource projects, population movements and limited control measures. More than seven million people are expected to be infected in the Sudan as projected by the Director of the National Schistosomiasis Control Programme, 2009 personal communication. In 1970 the London Khartoum Bilharzia Project (Agreement between London School of Hygiene and Tropical Medicine, Faculty of Medicine University of Khartoum and the National Council for Research in collaboration with the Ministry of Health) was established. The outcomes of the project were documented in several publications[16,17,18,19,20,21,22] The findings of these studies formed the basis of the schistosomiasis control strategies within the comprehensive integrated plan of the Blue Nile Health Project ( BNHP) which was established in 1979 to control malaria, schistosomiasis and diarrhoeal diseases in
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