Modeling the effectiveness of One Health interventions against the zoonotic hookworm Ancylostoma ceylanicum
Author(s)
Type
Journal Article
Abstract
Hookworm disease is a major global public health concern, annually affecting 500-700 million of the world's poorest people. The World Health Organization is targeting the elimination of hookworm as a public health problem by 2030 using a strategy of mass drug administration (MDA) to at-risk human populations. However, in Southeast Asia and the Pacific the zoonotic hookworm species, Ancylostoma ceylanicum, is endemic in dogs and commonly infects people. This presents a potential impediment to the effectiveness of MDA that targets only humans. Here, we develop a novel multi-host (dog and human) transmission model of A. ceylanicum and compare the effectiveness of human-only and "One Health" (human plus dog) MDA strategies under a range of eco-epidemiological assumptions. We show that One Health interventions-targeting both dogs and humans-could suppress prevalence in humans to ≤ 1% by the end of 2030, even with only modest coverage (25-50%) of the animal reservoir. With increasing coverage, One Health interventions may even interrupt transmission. We discuss key unresolved questions on the eco-epidemiology of A. ceylanicum, the challenges of delivering MDA to animal reservoirs, and the growing importance of One Health interventions to human public health.
Date Issued
2023-11-07
Date Acceptance
2023-02-14
Citation
Frontiers of Medicine, 2023, 10
ISSN
1673-7342
Publisher
Springer
Journal / Book Title
Frontiers of Medicine
Volume
10
Copyright Statement
© 2023 Walker, Lambert, Neves, Worsley, Traub and Colella. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
License URL
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/36960338
Subjects
Ancylostoma ceylanicum
effectiveness
elimination
hookworm
intervention
modeling
One Health
zoonosis
Publication Status
Published
Coverage Spatial
Switzerland
Article Number
ARTN 1092030