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Downloaded from https://academic.oup.com/trstmh/article-abstract/89/6/704/1916948 by DeepDyve user on 26 July 2020 liest disease. He pertinently points out that health is not a trol. Emphasis is rightly placed on promoting control strategies appropriate to the epidemiological situation and drain on a country’s resources, it is a worthwhile investment. available resources of the endemic country. The report is ex- Chapter 1 contains numerous informative tables and figures tremely informative and brings together an enormous updated to 1993. They include the 10 leading causes of death in the world and data are also available on child health, amount of information for the first time. As with other health of school-age children and adolescents, sexually trans- Technical Reports in the WHO series, the presentation is mitted diseases including AIDS, tobacco, alcohol and other clear and concise. The study group as well as the vast num- drugs, and accidents, violence and suicide. Maps of the geo- ber of experts concerned with the production should be con- eranhical distribution of the big killers-tuberculosis, cholera, gratulated on putting together such a useful volume. The trematodes of greatest public health significance are &&aria-d other communicable diseases are reproduced.. Opisthorchis, Clonorchis, Paragonimus, Fasciola and certain Data on the non-communicable diseases, mental health, women’s health, health of the elderly and several other intestinal flukes. The report discusses the food-related, eco- topics are also presented. It is pointed-out that the soaring logical and environmental determinants of infection, associ- world nonulation will strain to the limit the ability of social, ated morbidity and mortality, and options for diagnosis and treatment. Control strategies are considered in detail and politic&~nvironmental and health infrastructures to cope. emphasis is given to the need for an integrated control Chapter 2 provides an overview of the many activities strategy that requires the close collaboration of health, agri- undertaken by WHO in 1994 alone to support countries in culture, food safety and education sectors. Control may not the improvement of health care. They range from the estab- be easy, old eating habits are difficult to break. Just as it is lishment of international norms and standards for biological difficult to change water contact patterns in known schisto- substances, vaccines and oharmaceuticals to direct support _. in health emergencies. somiasis transmission sites, traditional eating habits are part In Chanter 3. it is nredicted that bv the end of the 20th of the deeply rooted culture of a community and may be re- sistant to change. century we could be Ii&g in a world without poliomyelitis, The epidemiological status of foodbome trematode infec- without new cases of leprosy, without death from neonatal tions in different countries is reviewed. There are obvious tetanus and measles, and without dracunculiasis. ‘hot snots’ of infection and estimates of prevalence of human The special chapter is a historical account of the evolution infection are alarming: 830 000 people are infected with fas- of WHO from its intention in 1948 when the first World Health Assembly com&ed 55 member states mostly from cioliasis in Efrvnt. over four and a half million are infected -.- - . ’ the industrialized world to its present composition of 189 with clonorchiasis m China, around 7 million with opisthor- chiasis in Thailand, and some 20 million with paragonimiasis member states. The eradication of smallpox in the late 1970s in China. is a historical achievement. There are particularly valuable appendices giving esti- Annex 1 is a list of all member and associate member mates of the distribution of foodborne trematode infections, states and annex 2 includes the non-governmental organixa- the global distribution of human intestinal trematodes, rules tions in official relation with WHO-at 31 December 1994. Annex 3 contains more useful statistical data. The 189 mem- for safe food preparation, lists of international codes of prac- ber states are divided into 4 groups: developed market econ- tice for fish and shellfish, a comprehensive list of the inter- mediate hosts of foodborne trematodes, and techniques for omies; developing countries; least developed countries; and parasitological examination of second intermediate hosts economies in transition. (fish and Crustacea). Clearlv a lot of research remains to be This welcome report is clearly written, beautifully pro- done and the report closes with a list of 15 priorities for re- duced and provides a wealth of useful information. It is ac- search on foodborne trematode infections. Let us hope it is cepted that the data sources could be improved upon and not too long before such delicacies as ‘drunken’ crabs, which suggestions as to how they could be made more reliable are invited. are responsible for transmission of paragonimiasis infection in parts of China, disappear from the menu. In the mean- H. M. Gilles time this volume should be used and referred to by everyone William P. Ha&v Buildine with an interest in foodborne trematode infections. Brownlow Street d - I’. 0. Box 147 David Rollinson Department of Zoology Liverpool, L69 3BX, UK The Natural Histon, Museum Control of Foodbome Trematode Infections. Report of a Cromwell Road = WHO Studv Group. Geneva: World Health Organization, London, S W7 SBD, UK 1995. WHd Tech&al Report Series 849. viii+ 157~~. Price SW. fr. 26/USS23.40 (in develouina countries Sw.fr. 18.20). ISBN 92-4-120849-x‘. (Available-in English; French and Books received* Spanish editions in preparation.) The impact of foodborne trematode infections on human health should not be under-estimated. More than 40 million Methyl Bromide. Environmental Health Criteria 166. people throughout the world are believed to be infected and Geneva: World Health Organization, 1995. 324 pp. Price over 10% of the global population is at risk of infection. Rec- SW. fr. 47/US$42.30 (in developing countries SW. fr. 32.90). ognition that foodborne trematode infections are a growing ISBN 92-4-157166-7. [English, with summaries in French public health problem, especially in parts of south and east and Spanish.] Asia, is beginning to provide the impetus for the develop- ment of effective control strategies. This timely and authori- tative volume, which is the result of a WHO Study Group, *Inclusion of titles in this list does not necessarily imply recom- provides an excellent overview of the problem and its con- mendation by the Society, Editorial Board or Editor.
Transactions of The Royal Society of Tropical Medicine and Hygiene – Oxford University Press
Published: Nov 1, 1995
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