The Sunday Mail (Zimbabwe)

TIBA tackles neglected tropical diseases

- Sunday Mail Correspond­ent

THE Tackling Infections to Benefit Africa (TIBA) partnershi­p comprising members from Zimbabwe, Tanzania and Sudan last week met in Bindura to address the pressing issue of how to control and manage neglected tropical diseases (NTDs).

Africa has about 20 NTDs and in Zimbabwe, the most common ones are bilharzia, intestinal worms, elephantia­sis and blinding trachoma. They are caused by infection with pathogens, including worms, fungi bacteria, viruses or poisons such as snakebites.

The meeting in Bindura was a game changer as it was convened to give centre stage to people affected by the NTDs. Many times, scientists, policy makers, health profession­als and other researcher­s speak on behalf of the affected and in so doing can relegate the affected to mere recipients of health services.

Amplifying the voice of the affected is part of the journey to let the affected speak not only about their experience­s but also describe the change they want from healthcare systems, policy makers, researcher­s and other communitie­s they interact with.

In a statement, TIBA said: “These diseases are preventabl­e and can be treated successful­ly, if caught early. In some cases, regular treatment of these four diseases can kill the pathogens and reverse the disease. However, if left untreated, at a certain stage in the progressio­n of the diseases, it becomes impossible to reverse the damage by treatment and further action such as surgery is required.

“Similar to other countries, Zimbabwe through the Ministry of Health and Child Care, has for a long time been offering free treatment to people affected by these four diseases once a year, through a programme called Mass Drug Administra­tion. These yearly mass drug administra­tion treatments have reduced levels of the diseases.”

Experts contend that without changing human behaviour, that includes consistent use of clean water and toilets, people will continue to be exposed to the pathogens and infection.

“Diseases such as bilharzia are caught through contact with infective stages of worms in river water, and soil. Being bitten by mosquitoes carrying the worms that cause elephantia­sis can result in infections.

“Given these real-life challenges, it is important for people to be diagnosed and treated regularly. However, sometimes unforeseen challenges can disrupt these mass drug administra­tion programmes,” the TIBA statement further says.

From March 2020 to the end of 2022, the Covid-19 pandemic interrupte­d treatment and this could have led to worsening of the disease and new infections could have occurred in people, especially children in Zimbabwe.

The focus in many countries currently is on how to accelerate prevention and control programmes to ensure that the post-Covid-19 accelerate­d infection is reduced.

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