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Female genital schistosomiasis and HIV/AIDS: Reversing the neglect of girls and women
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Female genital schistosomiasis and HIV/AIDS: Reversing the neglect of girls and women
Female genital schistosomiasis and HIV/AIDS: Reversing the neglect of girls and women
Journal Article

Female genital schistosomiasis and HIV/AIDS: Reversing the neglect of girls and women

2019
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Overview
Competing interests: PJH is a patentholder and investigator on a vaccine against schistosomiasis that is in clinical trials. Since the 2000s, we have known that female genital schistosomiasis (FGS) is likely the most neglected gynecologic condition and HIV/AIDS cofactor across sub-Saharan Africa. [...]multiple (and peer-reviewed) scientific papers have been written on this subject [13–21], but they have largely appealed to the community of scientists and public health experts committed to NTDs. [...]although “preaching to the converted” has helped to unify the NTDs community, it has (so far) done little to stimulate the global HIV/AIDS community toward accepting the importance of praziquantel MDA as a key component of strategies to prevent new infections of HIV/AIDS. Realizing that declines in new HIV/AIDS infections remain too slow, especially in younger women aged 15–24 years who are twice as likely to be living with HIV than men [39]—in 25 countries, of which 18 in sub-Saharan Africa—UNAIDS launched its Prevention 2020 Road Map [40] calling for innovative combination prevention packages, in addition to HIV screening, counseling, and treatment programs. Since 2017, several parallel sessions have taken place at international AIDS and Women’s conferences—including the 22nd International AIDS Conference held in Amsterdam, the Netherlands in 2018—calling for a more holistic approach to women’s health and HIV. According to the WHO, despite making impressive gains in 2017, we are still falling short of meeting the minimum target of treating at least 75% of the African children who require regular and periodic administration of praziquantel [43].