ELEPHANTIASIS - A DISEASE OF DEVELOPMENT IN NORTH-EAST GHANA

被引：44

作者：

HUNTER, JM ^{[1
]}

机构：

[1] MICHIGAN STATE UNIV,CTR AFRICAN STUDIES,DEPT COMMUNITY HLTH SCI,E LANSING,MI 48824

来源：

SOCIAL SCIENCE & MEDICINE | 1992年 / 35卷 / 05期

关键词：

DEVELOPMENT; WEST AFRICA; IRRIGATION; RICE; LYMPHATIC FILARIASIS;

D O I：

10.1016/0277-9536(92)90001-7

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

A reconnaissance survey for the presence of lymphatic filariasis is made in 41 chiefdoms of north east Ghana. Four disease levels are identified culminating in hyperendemic disease foci associated with two Government-introduced rice irrigation projects. Attention is also drawn to the disease effects of small village dams. Multiple concurrent infections are noted. Within the most stricken irrigation villages, aspects of concealment, stigma and marriage are considered. Failure to control lymphatic filariasis has led to hospital avoidance and neglect of the disease jointly by patients, physicians and nurses. Culpability rests with the irrigation authority and Government health services. An outline is given of possible measures for disease control. A multisectoral policy of 'prevention before development' is strongly advocated.

引用

页码：627 / 649

页数：23