World Health Day 2014: Preventing vector-borne diseases



This year’s World Health Day, 7 April, WHO is highlighting the serious and increasing threat of vector-borne diseases, with the slogan “Small bite, big threat”. AJUMA EDWINA OGIRI reports

More than half the world’s population is at risk from diseases such as malaria, dengue, leishmaniasis, Lyme disease, schistosomiasis, and yellow fever, carried by mosquitoes, flies, ticks, water snails and other vectors. Every year, more than one billion people are infected and more than one million die from vector-borne diseases.

The Organization also emphasizes that these diseases are entirely preventable. Newly published “A global brief on vector-borne diseases” outlines steps that governments, community groups and families can all take to protect people from infection.
“A global health agenda that gives higher priority to vector control could save many lives and avert much suffering. Simple, cost-effective interventions like insecticide-treated bed nets and indoor spraying have already saved millions of lives,” says Dr Margaret Chan, WHO Director-General. “No one in the 21st century should die from the bite of a mosquito, a sandfly, a blackfly or a tick.”

Vector-borne diseases affect the poorest populations, particularly where there is a lack of access to adequate housing, safe drinking water and sanitation. Malnourished people and those with weakened immunity are especially susceptible.
Schistosomiasis, transmitted by water snails, is the most widespread of all vector-borne diseases, affecting almost 240 million people worldwide. Children living and playing near infested water are particularly vulnerable to this disease which causes anaemia and a reduced ability to learn. Schistosomiasis can be controlled through regular mass treatment of at-risk groups with a safe, effective medicine, as well as improving access to safe drinking water and sanitation.

Within the past two decades, many important vector-borne diseases have also re-emerged or spread to new parts of the world. Environmental changes, a massive increase in international travel and trade, changes in agricultural practices and rapid unplanned urbanization are causing an increase in the number and spread of many vectors worldwide and making new groups of people, notably tourists and business travellers, vulnerable.

Mosquito-borne dengue, for example, is now found in 100 countries, putting more than 2.5 billion people – over 40% of the world’s population – at risk. Dengue has recently been reported in China, Portugal and the state of Florida, in the United States of America.
“Vector control remains the most important tool in preventing outbreaks of vector-borne diseases,” says Dr Lorenzo Savioli, Director of WHO’s Department of Control of Neglected Tropical Diseases. “Increased funds and political commitment are needed to sustain existing vector-control tools, as well as medicines and diagnostic tools – and to conduct urgently needed research.”
On World Health Day 2014, WHO is calling for a renewed focus on vector control and better provision of safe water, sanitation and hygiene – key strategies outlined in WHO’s 2011 Roadmap for the control, elimination and eradication of neglected tropical diseases, which sets targets for the period 2012–2020.
The World Health Organization said Nigeria alone bears over 25% of the Africa’s vector borne disease burden.

The WHO representative in Nigeria, Dr. Rui Gama Vaz, made this known at a Ministerial press briefing yesterday in Abuja, to commemorate World Health Day (WHD) 2014.
Dr. Vaz said the aim of this commemoration is to raise public awareness about the threat posed by a group of diseases that are spread by insects and vectors such as mosquitoes, flies, ticks and fresh water snails that spread malaria, spleeping sickness, onchocerciasis, schistomiasis, elephantiasis, yellow fever and dengue fever among others.

“However it is encouraging to note that progress is being made in Nigeria to tackle vector-borne diseases.
“Malaria is on the downward trend, river blindness is no longer a public health problem, the intervention drugs for Onchocerciasis, Schistosomiasis and Lymphatic filariasis are more or less secured and government has evolved a clear integrated vector management,” he explained.

Dr. Vaz commended Nigeria for tackling vector borne diseases in the country, adding that WHO is a proud partner in these great achievements.
He also urged the general public to protect themselves and their family by taking simple preventive measures for keeping their environment clean and less conducive for vector breeding and survival.

The Minister of health, Prof. Onyebuchi Chukwu, stated that renewed efforts by governments at all levels, development partners and other stakeholders have led to the reduction in morbidity and mortality of these vector-borne diseases.
“Apart from public health interventions initiated or coordinated by relevant authorities and institutions, the individual and community have a vital role to play.
“We must abandon some traditional practices that promote the spread of these vector borne diseases, assume responsibility for our personal hygiene, and manage our environment in such a manner that will reduce man-vector contact,” The Minister said.

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