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'Zero Leprosy' and other endgame strategies: Rhetoric vs. realism in public health campaigns.

Abstract

For over half a century, many public health campaigns related to infectious disease have focused on disease 'eradication,' rather than 'control' or 'management.' In this article, I will focus on the example of a recent global leprosy (Hansen's Disease) control campaign, Triple Zero. Drawing on examples from other public health initiatives, this article explores how the language of 'zero disease' or 'endgame strategies' is appealing to certain audiences but how it can also be misleading and have unexpected and unintended consequences. Depending on the specific characteristics of the disease, the disease vectors, and the circumstances of transmission, 'zero' disease is rarely an achievable goal. In addition, when a disease is said to reach 'zero,' it is important to consider the possible implications for people with social, physical, or emotional sequeläe from the disease and who still may require follow-up treatment and care.

More information

Type
Journal Article
Author
White C
Year of Publication
2020
Journal
Global public health
Number of Pages
1-12
Date Published
03/2020
Language
eng
ISSN Number
1744-1706
DOI
10.1080/17441692.2020.1744681
Alternate Journal
Glob Public Health
PMID
32202468
Publication Language
eng

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