01918nas a2200313 4500000000100000008004100001653003900042653002000081653003500101653001600136653001300152100002500165700001300190700001500203700001800218700001100236700001400247700001200261700001300273700001600286700001400302700001600316700001900332700001700351245017700368300000900545520103600554022001401590 2018 d10aNeglected tropical diseases (NTDs)10aschistosomiasis10aSoil-transmitted helminthiasis10aElimination10aCameroon1 aTchuem Tchuenté L A1 aOmbede E1 aNoumedem D1 aChuinteu DG N1 aNono F1 aLemegne N1 aMembe F1 aGipwe FN1 aKenfack C M1 aNgang S K1 aTchoumdop N1 aCunningham L J1 aStothard J R00aProspects for the elimination of schistosomiasis and soil-transmitted helminthiasis: exploring disease trends through time at the Barombi crater lakes, South-West Cameroon. a1-153 a

In Cameroon, there is a national programme engaged in the control of schistosomiasis and soil-transmitted helminthiasis. In certain locations, the programme is transitioning from morbidity control towards local interruption of parasite transmission. The volcanic crater lake villages of Barombi Mbo and Barombi Kotto are well-known transmission foci and are excellent context-specific locations to assess appropriate disease control interventions. Most recently they have served as exemplars of expanded access to deworming medications and increased environmental surveillance. In this paper, we review infection dynamics through time, beginning with data from 1953, and comment on the short- and long-term success of disease control. We show how intensification of local control is needed to push towards elimination and that further environmental surveillance, with targeted snail control, is needed to consolidate gains in preventive chemotherapy as well as empower local communities to take ownership of interventions.

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