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Journal of Parasitology Research
Volume 2012 (2012), Article ID 974950, 6 pages
Research Article

Verifying Elimination Programs with a Special Emphasis on Cysticercosis Endpoints and Postelimination Surveillance

1Division of Parasitic Diseases and Malaria, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA 30329, USA
2Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, 17177 Stockholm, Sweden

Received 26 July 2012; Accepted 24 September 2012

Academic Editor: Armando Gonzalez

Copyright © 2012 Sukwan Handali and Yudi Pawitan. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Methods are needed for determining program endpoints or postprogram surveillance for any elimination program. Cysticercosis has the necessary effective strategies and diagnostic tools for establishing an elimination program; however, tools to verify program endpoints have not been determined. Using a statistical approach, the present study proposed that taeniasis and porcine cysticercosis antibody assays could be used to determine with a high statistical confidence whether an area is free of disease. Confidence would be improved by using secondary tests such as the taeniasis coproantigen assay and necropsy of the sentinel pigs.