BACKGROUND _ OBJECTIVES: In India, @entity1 @entity358 is an important public health problem in the northeastern (NE) region. In 2005 we reported a hyperendemic focus of @entity9643 in a remote tribal village in the hills of Changlang district in Arunachal Pradesh. The community was made aware of the disease and all active cases were treated. This study was aimed to assess the decline in the prevelance of @entity9643 in the same area after a re-survey done in 2011 after a gap of six years. METHODS: Re-surveys were carried to determine the reduction in the prevalence of @entity9643 . Community education was given to the villagers to raise their awareness about @entity9643 . A total of 624 individuals including 301 @entity1 (age 15 yr) were included in the study. Sputum and stool samples were examined for eggs of lung flukes. Serum samples were screened for IgG antibodies against lung fluke antigen by ELISA. RESULTS: A significant (P<0.001) decline in the prevalence of @entity9643 was found. There was decline in both ELISA positivity and egg positivity. Antibody positivity against excretory-secretary (ES) antigen in @entity1 (age 15 yr) fell down from earlier 51.7 to 15.9 per cent and in individuals 16 - 30 yr of age the serological prevalence fell down from 22.4 to 8.2 per cent and in individuals aged th > 31 yr, the decline in prevalence was from 15.3 to 3.7 per cent. Gender-wise analysis revealed that the decline in ELISA positivity was similar in both genders and fell down from 33.9 to 11.5 per cent in males and from 29.8 to 10.7 per cent in females. Similarly, there was a significant decline rate in egg positivity also. INTERPRETATION _ CONCLUSIONS: The strategy of hotspot targeted @entity9643 case detection and treatment of infected cases together with community education appears to be feasible methods to achieve control of @entity9643 in this region.

Declining prevalence of XXXX following treatment _ community education in a remote tribal population of Arunachal Pradesh, India.

@entity1 :: ('9606', 'Species') :: ['children', 'human'] @entity358 :: ('MESH:D008171', 'Disease') :: ['pulmonary paragonimiasis'] @entity9643 :: ('MESH:D010237', 'Disease') :: ['paragonimiasis', 'active paragonimiasis']
@entity358 :: (MESH:D008171,Disease) :: ['pulmonary paragonimiasis']
