Evaluation of a One Health public health program based on minimum inputs to control Taenia solium in Madagascar

Abstract

Cysticercosis in humans caused by the parasite Taenia solium is one of the World Health Organization's Neglected Tropical Diseases. The parasite is transmitted between the human host and pigs. Efforts to prevent the disease have relied mainly on treatment of people with anthelmintics. However, to date, there is no practical and effective control method that has been delivered as a public health program. Here we describe a large-scale, minimum inputs T. solium control program implemented as a public health program in Madagascar. Initially all pigs were vaccinated for porcine cysticercosis and medicated with oxfendazole, after which only young piglets and pigs imported into the program area we..