One Health showcase from Asia: the Lawa model—a community-based approach to liver fluke control in Thailand
Liver fluke infection caused by Opisthorchis viverrini is a significant public health challenge in the Lower Mekong Basin, affecting over 10 million people and leading to cholangiocarcinoma, a fatal bile duct cancer. Traditional control efforts often fail due to complex socio-cultural and ecological...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Science in One Health |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2949704325000058 |
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| author | Banchob Sripa Sirikachorn Tangkawattana |
| author_facet | Banchob Sripa Sirikachorn Tangkawattana |
| author_sort | Banchob Sripa |
| collection | DOAJ |
| description | Liver fluke infection caused by Opisthorchis viverrini is a significant public health challenge in the Lower Mekong Basin, affecting over 10 million people and leading to cholangiocarcinoma, a fatal bile duct cancer. Traditional control efforts often fail due to complex socio-cultural and ecological factors. The Lawa model, implemented in the Lawa Lake region of Khon Kaen, Thailand, adopts a One Health framework to integrate human health interventions, environmental modifications, and animal reservoir management, addressing the transmission cycle comprehensively. This approach respects the cultural context of Isan communities and leverages evidence-based, community-driven strategies. Over 15 years, the model has achieved remarkable success, reducing human infection rates from 60 % to below 5 % and eliminating infections in intermediate hosts. Key lessons include the importance of systems thinking, transdisciplinary collaboration, and community engagement in achieving sustainable health outcomes, despite challenges like cultural dietary practices and environmental disruptions such as flooding. |
| format | Article |
| id | doaj-art-29f81058de064cc6a19119c4e5b4cebf |
| institution | OA Journals |
| issn | 2949-7043 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Science in One Health |
| spelling | doaj-art-29f81058de064cc6a19119c4e5b4cebf2025-08-20T02:17:34ZengElsevierScience in One Health2949-70432025-01-01410010810.1016/j.soh.2025.100108One Health showcase from Asia: the Lawa model—a community-based approach to liver fluke control in ThailandBanchob Sripa0Sirikachorn Tangkawattana1WHO Collaborating Centre for Research and Control of Opisthorchiasis, Tropical Disease Research Center (TDRC), Khon Kaen University, Khon Kaen 40002, Thailand; Department of Tropical Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand; Corresponding author. Department of Tropical Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.WHO Collaborating Centre for Research and Control of Opisthorchiasis, Tropical Disease Research Center (TDRC), Khon Kaen University, Khon Kaen 40002, Thailand; Faculty of Veterinary Medicine, Khon Kaen University, Khon Kaen 40002, ThailandLiver fluke infection caused by Opisthorchis viverrini is a significant public health challenge in the Lower Mekong Basin, affecting over 10 million people and leading to cholangiocarcinoma, a fatal bile duct cancer. Traditional control efforts often fail due to complex socio-cultural and ecological factors. The Lawa model, implemented in the Lawa Lake region of Khon Kaen, Thailand, adopts a One Health framework to integrate human health interventions, environmental modifications, and animal reservoir management, addressing the transmission cycle comprehensively. This approach respects the cultural context of Isan communities and leverages evidence-based, community-driven strategies. Over 15 years, the model has achieved remarkable success, reducing human infection rates from 60 % to below 5 % and eliminating infections in intermediate hosts. Key lessons include the importance of systems thinking, transdisciplinary collaboration, and community engagement in achieving sustainable health outcomes, despite challenges like cultural dietary practices and environmental disruptions such as flooding.http://www.sciencedirect.com/science/article/pii/S2949704325000058Liver flukeOpisthorchis viverriniOpisthorchiasisControlOne HealthThailand |
| spellingShingle | Banchob Sripa Sirikachorn Tangkawattana One Health showcase from Asia: the Lawa model—a community-based approach to liver fluke control in Thailand Science in One Health Liver fluke Opisthorchis viverrini Opisthorchiasis Control One Health Thailand |
| title | One Health showcase from Asia: the Lawa model—a community-based approach to liver fluke control in Thailand |
| title_full | One Health showcase from Asia: the Lawa model—a community-based approach to liver fluke control in Thailand |
| title_fullStr | One Health showcase from Asia: the Lawa model—a community-based approach to liver fluke control in Thailand |
| title_full_unstemmed | One Health showcase from Asia: the Lawa model—a community-based approach to liver fluke control in Thailand |
| title_short | One Health showcase from Asia: the Lawa model—a community-based approach to liver fluke control in Thailand |
| title_sort | one health showcase from asia the lawa model a community based approach to liver fluke control in thailand |
| topic | Liver fluke Opisthorchis viverrini Opisthorchiasis Control One Health Thailand |
| url | http://www.sciencedirect.com/science/article/pii/S2949704325000058 |
| work_keys_str_mv | AT banchobsripa onehealthshowcasefromasiathelawamodelacommunitybasedapproachtoliverflukecontrolinthailand AT sirikachorntangkawattana onehealthshowcasefromasiathelawamodelacommunitybasedapproachtoliverflukecontrolinthailand |