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(单词翻译:双击或拖选)
Washington
23 January 2008
Three antiparasitic drugs may soon be dispensed2 simultaneously3 to people living in areas in Africa that are endemic for parasitic1 worms. The results of a large study from Zanzibar show administering three drugs at the same time causes minimal4 side effects. Experts say the regimen, if adopted, would result in significant cost savings5. VOA's Jessica Berman reports.
Experts say many people in Zanzibar and other parasite-endemic regions are usually infected with more than one type of worm.
Antiparasitic drugs are given each year to manage the worm infections. The drugs are not usually dispensed at the same time for all of the diseases. Public health officials say time and resources could be saved if all three drugs could be doled6 out simultaneously.
The study in Zanzibar, part of Tanzania, involved a three-drug regimen of Ivermectin, albendazole and praziquantel. The drugs are active against worms that cause elephantiasis and schistosomiasis and soil-worms or helminths.
An estimated 200 million people worldwide are infected with the worm responsible for schistosomiasis, which is caused by bathing in river water contaminated with human waste.
The parasites7 burrow8 into the skin, eventually finding their way to vital organs including the liver, lungs and intestines9, where they reproduce, wreaking10 havoc11 on their human host.
More than one billion people in 80 countries are at risk of contracting lymphatic filariasis, known as Elephantiasis, which is transmitted by mosquitos infected with parasitic filarial worms. The worms lodge12 in the lymphatic system, causing accumulations of lymph fluid that lead to massive swellings of limbs, usually the feet.
The first phase of the study involved more than 5,000 children. After finding no severe side effects to the triple therapy, investigators13 from Zanzibar and Tanzania - as well as from the School of Tropical Medicine in Liverpool, England - expanded the trial to treat Zanzibar's entire eligible14 population of 700,000 people.
Again, investigators found the side effects were minimal when the drugs were given together.
David Molyneux is with the Lymphatic Filariasis Center at the School of Tropical Medicine in Liverpool. He says that drug companies are donating two of the antiworm drugs, Ivermectin and albendazole.
Molyneux adds that a dose of the third drug, praziquantel, to treat schistosomiasis, costs 20 cents.
"Basically what we are saying is that for 50 cents - which would be 20 for the praziquantel, 30 cents for the delivery and the social mobilization - you could really make pretty big cost savings in delivery and treat the targeted populations across a much wider area of Africa," he said.
Molyneux is co-author of the study on the triple drug regimen, which is published in an online journal of the Public Library of Science.
Molyneux says further studies will be done to confirm the safety of the three-drug regimen, which could then be submitted to the World Health Organization for approval.
1 parasitic | |
adj.寄生的 | |
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2 dispensed | |
v.分配( dispense的过去式和过去分词 );施与;配(药) | |
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3 simultaneously | |
adv.同时发生地,同时进行地 | |
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4 minimal | |
adj.尽可能少的,最小的 | |
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5 savings | |
n.存款,储蓄 | |
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6 doled | |
救济物( dole的过去式和过去分词 ); 失业救济金 | |
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7 parasites | |
寄生物( parasite的名词复数 ); 靠他人为生的人; 诸虫 | |
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8 burrow | |
vt.挖掘(洞穴);钻进;vi.挖洞;翻寻;n.地洞 | |
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9 intestines | |
n.肠( intestine的名词复数 ) | |
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10 wreaking | |
诉诸(武力),施行(暴力),发(脾气)( wreak的现在分词 ) | |
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11 havoc | |
n.大破坏,浩劫,大混乱,大杂乱 | |
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12 lodge | |
v.临时住宿,寄宿,寄存,容纳;n.传达室,小旅馆 | |
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13 investigators | |
n.调查者,审查者( investigator的名词复数 ) | |
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14 eligible | |
adj.有条件被选中的;(尤指婚姻等)合适(意)的 | |
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