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While mass treatment programs can be effective [5] they can also provide an opportunity for selection and development of drug resistance in scabies mites.
There have been proposals to include even smaller children than currently recommended in mass treatment programs (13, 17).
Mass treatment programs to cure HCV in developing countries are only feasible if the costs of treatment and laboratory diagnostics are very low.
Development of resistance and side effects of praziquantel in mass treatment programs of S. haematobium are, however, not extensively studied (10).
Follow-up studies concerning optimal dosage, side effects and effectiveness of praziquantel in mass treatment programs using the dose-pole seem to be non-existent.
A calibrated pole based on height was suggested and developed as an alternative for determining the dose for schoolchildren (1, 4) and is now used in mass treatment programs (5– 7).
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Yaws, a neglected tropical disease, is targeted for eradication by 2020 through large-scale mass-treatment programs of endemic communities.
During this time, an annual mass azithromycin treatment program began.
Sixteen villages in the Gurage region of southern Ethiopia were enrolled in a mass antibiotic treatment program for trachoma as previously described [ 7].
Resistance in helminths is presented in the context of mass treatment during eradication programs and the need for enhanced surveillance programs.
The prevalence of intestinal helminths at enrollment was near zero, consistent with the mass-drug treatment program in this region of Mali, whereas the prevalence of Schistosoma haematobium in the urine was 7.4 %, mostly among adolescents and adults.
More suggestions(15)
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