Water, Sanitation and Hygiene for sustainable Neglected Tropical Disease control. by Anouk Gouvras, BugBitten Blog, November 18, 2016.
The International Society for Neglected Tropical Diseases (ISNTD) hosted a meeting exploring aspects of Water, Sanitation and Hygiene (WASH) on NTD control; ISNTD Water. Below I have highlighted some of the NTD and WASH aspects that were presented and discussed at the meeting.
Currently the majority of Neglected Tropical Disease (NTDs) control programs center around chemotherapy to treat and prevent disease. However two documents from the WHO; the 2012 WHO roadmap and more recently the report on NTDs and Water, sanitation and hygiene (WASH), highlight the need for WASH integration to achieve sustainable NTD control and elimination. The International Society for NTDs hosted a meeting exploring aspects of WASH and NTDs; ISNTD Water.
Neglected Tropical Diseases
NTDs is a term given to a diverse group of 17 infectious diseases that are highly prevalent in tropical and subtropical countries, that thrive in poverty stricken areas with low or no access to sanitation and clean water infrastructure, cause huge damage to public health and socio-economic development and yet still receive little global attention. Together they infect over 1.4 billion people world wide and the majority are caused by protozoan or helminth infections. They are the diseases of neglected people of low income countries and of poor communities living in richer countries.
Read the complete article.
Water, sanitation and hygiene for accelerating and sustaining progress on neglected tropical diseases: a new Global Strategy 2015–20. Int. Health (2016) 8 (suppl 1): i19-i21.
Authors: Sophie Boisson, Dirk Engels, et al.
Neglected tropical diseases (NTDs) affect over 1 billion people. Safe water, sanitation and hygiene (WASH) contribute to prevention and management of most NTDs. Linking WASH and NTD interventions has potential to impact on multiple NTDs and can help secure sustainable and equitable progress towards universal access to WASH.
The need to address the determinants of NTDs has been acknowledged. In response, WHO has published a new Global Strategy: ‘Water, Sanitation and Hygiene for accelerating and sustaining progress on Neglected Tropical Diseases’.
The Strategy focuses on cross-cutting actions that benefit disease control and care efforts, and strengthen health systems. Implementation of the strategy and the accompanying action plan can help ensure that the health and development agenda leaves no one behind.
Published on Feb 22, 2016
The Global Public-Private Partnership for Handwashing (PPPHW) co-hosted this webinar with the USAID WASHplus project to discuss the importance of integrating water, sanitation, and hygiene to combat neglected tropical diseases, and to address the need for new approaches for multi-sector initiatives to promote equity, poverty alleviation, health, and well-being.
February 18, 2016 Webinar, 9:00 a.m EST- WASHing away diseases: two hands at a time
Please join the Global Public-Private Partnership for Handwashing and the USAID/WASHplus project for a webinar discussing why water, sanitation, and hygiene (WASH) matter to neglected tropical diseases (NTDs), and addressing the need for new approaches for multi-sector initiatives to promote equity, poverty alleviation, health, and well-being.
Featuring speakers from WaterAid, Sightsavers, the FHI 360-led USAID/WASHplus project, and USAID, this webinar is an excellent opportunity for those working in both WASH and NTDs to learn about the global landscape of WASH/NTD strategy and glean practical insights from projects that are operating in this context.
This webinar will include brief presentations on:
- The link between WASH and NTDs
- How we can work together to achieve common goals through the World Health Organization’s Joint WASH-NTD strategy; and
- Integration in practice.About the speakers:
- Renuka Bery, MPH, Senior Program Manager for the USAID/WASHplus project, has an extensive background in WASH integration.
- Sophie Boisson, PhD, Technical Officer for Water, Sanitation, Hygiene and Health at the World Health Organization.
- Edouard Tianhoun, RN, MSc, WASH-NTD Coordinator for the USAID/WASHplus Burkina Faso pilot project, has been in involved in WASH programs in his native Burkina Faso since 2011.
- Yael Velleman, MSc, Senior Policy Analyst on Health and Sanitation, leads WaterAid’s strategy, advocacy, and research agenda on health.
- Merri Weinger, MPH, Senior Environmental Health Advisor at USAID’s Bureau for Global Health, has over 30 years of experience in health programs at USAID, WHO, and PAHO.
- Geordie Woods, MPH, Technical Adviser-NTDs at Sightsavers, specializes in health behavior and strategic communication with a technical focus that includes NTDs and WASH.
The Effect of Hygiene-Based Lymphedema Management in Lymphatic Filariasis-Endemic Areas: A Systematic Review and Meta-analysis. PLoS NTDs, Oct 2015. Authors: Meredith E. Stocks, Matthew C. Freeman, David G. Addiss.
Full text: http://goo.gl/J9WBEM
For people who already have lymphedema, WHO recommends simple hygiene-based measures that include skin care and limb movement. Yet only a small proportion of those with LF-related lymphedema have been trained in these measures. To determine the effectiveness of hygiene-based lymphedema management, we reviewed the scientific literature. Overall, use of hygiene-based measures was associated with 60% lower odds of inflammatory episodes, known as “acute attacks,” in the affected limb. Hygiene is also effective for managing LF-related lymphedema and reducing suffering caused by acute attacks. Training people with lymphedema in hygiene-based interventions should be a priority for LF programs everywhere.
Evaluation of an Inexpensive Growth Medium for Direct Detection of Escherichia coli in Temperate and Sub-Tropical Waters. PLoS One, Oct 2015. Authors: Robert E. S. Bain , Claire Woodall, John Elliott, Benjamin F. Arnold, Rosalind Tung, Robert Morley, Martella du Preez, Jamie K. Bartram, Anthony P. Davis, Stephen W. Gundry, Stephen Pedley
Full text: http://goo.gl/O6fOTk
We developed a new low-cost growth medium, aquatest (AT), and validated its use for the direct detection of E. coli in temperate and sub-tropical drinking waters using IDEXX Quanti-Tray®. AT is reliable and accurate for the detection of E. coli in temperate and subtropical drinking water. The composition of the new medium is reported herein and can be used freely.
August 27, 2015 – WHO strengthens focus on water, sanitation and hygiene to accelerate elimination of neglected tropical diseases | Source: World Health Organization
27 August 2015 –– The World Health Organization (WHO) today unveiled a global plan to better integrate water, sanitation and hygiene (WASH) services with four other public health interventions to accelerate progress in eliminating and eradicating neglected tropical diseases (NTDs) by 2020.
International Trachoma Initiative (ITI)
“Millions suffer from devastating WASH-related neglected tropical diseases – such as soil-transmitted helminthiasis, guinea-worm disease, trachoma and schistosomiasis – all of which affect mainly children” said Dr Maria Neira, WHO Director for Public Health, Environmental and Social Determinants of Health. “Solutions exist, such as access to safe water, managing human excreta, improving hygiene, and enhancing targeted environmental management. Such improvements not only lead to improved health, but also reduce poverty.”
Targeted water and sanitation interventions are expected to bolster ongoing efforts in tackling 16 out of the 17 NTDs, which affect more than 1 billion of the world’s poorest and most vulnerable populations.
Challenges and opportunities associated with neglected tropical disease and water, sanitation and hygiene intersectoral integration programs. BMC Public Health, June 2015.
Authors: E. Anna Johnston, Jordan Teague and Jay P. Graham
Background – Recent research has suggested that water, sanitation, and hygiene (WASH) interventions, in addition to mass drug administration (MDA), are necessary for controlling and eliminating many neglected tropical diseases (NTDs).
Objectives – This study investigated the integration of NTD and WASH programming in order to identify barriers to widespread integration and make recommendations about ideal conditions and best practices critical to future integrated programs.
Methods – Twenty-four in-depth, semi-structured interviews were conducted with key stakeholders in the global NTD and WASH sectors to identify barriers and ideal conditions in programmatic integration.
Results – The most frequently mentioned barriers to WASH and NTD integration included: 1) differing programmatic objectives in the two sectors, including different indicators and metrics; 2) a disproportionate focus on mass drug administration; 3) differences in the scale of funding; 4) siloed funding; and 5) a lack of coordination and information sharing between the two sectors. Participants also conveyed that a more holistic approach was needed if future integration efforts are to be scaled-up. The most commonly mentioned requisite conditions included: 1) education and advocacy; 2) development of joint indicators; 3) increased involvement at the ministerial level; 4) integrated strategy development; 5) creating task forces or committed partnerships; and 6) improved donor support.
Conclusions – Public health practitioners planning to integrate NTD and WASH programs can apply these results to create conditions for more effective programs and mitigate barriers to success. Donor agencies should consider funding more integration efforts to further test the proof of principle, and additional support from national and local governments is recommended if integration efforts are to succeed. Intersectoral efforts that include the development of shared indicators and objectives are needed to foster conditions conducive to expanding effective integration programs.