Control of schistosomiasis: Challenge and prospects for the 21^st century

Schistosomiasis occurs throughout the developing world and remains a major public health problem in the poorest communities with enormous consequences for development- More than 200 million people are infected and this poverty-related disease is highly prevalent in sub-Saharan Africa. The extent of the problem has long been neglected because the disease rarely kills and due to its insidious nature, signs and symptoms are taken seriously only after permanent impairment has occurred. Moreover, as many other poverty-related communicable diseases, schistosomiasis has been overshadowed by other health priorities. Today, schistosomiasis control is a priority on the agenda of many governments, donors and international agencies. A momentum as well as an unprecedented opportunity do exist for cost-effective action. Importantly, the renewed impetus for schistosomiasis control throughout sub-Saharan Africa reinforces the need for operational research to improve our understanding of the disease. The strengthening of the national capacity in endemic countries, a greater commitment of governments and communities from these developing countries, and an efficient stakeholder coordination are vital for a successful and durable control. The paper highlights the current opportunities and challenge for schistosomiasis control for the 21st century. By working all together, we have a great opportunity to take up the challenge and to improve the health of the poor.