Editing Trichuriasis (section)

==Prevention==

=== Deworming ===
Limited access to essential medicine has made the eradication of trichuriasis worldwide challenging. Also, it is a public health concern that rates of post-treatment re-infection need to be determined and addressed to diminish the incidence of untreated re-infection.  Lastly, with mass drug administration strategies improved diagnosis, and prompt treatment, the detection of an emergence of antihelminthic drug resistance should be examined.{{citation needed|date=May 2021}}

Mass Drug Administration (preventative chemotherapy) has had a positive effect on the disease burden of trichuriasis in East and West Africa, especially among children, who are at highest risk for infection.{{citation needed|date=March 2023}}

=== Sanitation ===
Infection can be avoided by proper disposal of human feces, avoiding fecal contamination of food, not [[geophagy|eating soil]], and avoiding crops fertilized with untreated human feces. Simple and effective proper hygiene such as washing hands and food is recommended for control.<ref>{{Cite journal |last=Behniafar |first=Hamed |last2=Sepidarkish |first2=Mahdi |last3=Tadi |first3=Mehrdad Jafari |last4=Valizadeh |first4=Soghra |last5=Gholamrezaei |first5=Mostafa |last6=Hamidi |first6=Faezeh |last7=Pazoki |first7=Hossein |last8=Alizadeh |first8=Faezeh |last9=Kianifard |first9=Nazanin |last10=Nooshabadi |first10=Morteza Sheikhi |last11=Bagheri |first11=Kimia |last12=Hemmati |first12=Faezeh |last13=Hemmati |first13=Taha |last14=Tori |first14=Neda Ahmazadeh |last15=Siddiq |first15=Abdelmonem |date=2024-05-01 |title=The global prevalence of Trichuris trichiura infection in humans (2010-2023): A systematic review and meta-analysis |url=https://linkinghub.elsevier.com/retrieve/pii/S187603412400056X |journal=Journal of Infection and Public Health |volume=17 |issue=5 |pages=800–809 |doi=10.1016/j.jiph.2024.03.005 |issn=1876-0341|doi-access=free }}</ref>

Improved facilities for feces disposal have decreased the incidence of whipworm. Handwashing before food handling, and avoiding ingestion of soil by thorough washing of food that may have been contaminated with egg-containing soil are other preventive measures. In addition to washing, it is also advisable to peel and/or cook fruits and vegetables. Improvement of sanitation systems, as well as improved facilities for feces disposal, have helped to limit defecation onto soil and contain potentially infectious feces from bodily contact.<ref>{{cite web |title=Prevention & Control |url=https://www.cdc.gov/parasites/whipworm/prevent.html |website=Parasites - Trichuriasis (also known as Whipworm Infection) |date=25 April 2019 |publisher=Centers for Disease Control and Prevention |access-date=27 October 2022}}</ref>

A study in a [[Brazilian people|Brazilian]] urban centre demonstrated a significant reduction in the prevalence and incidence of [[soil-transmitted helminthiasis]], including trichuriasis, following the implementation of a citywide sanitation program.  A 33% reduction in the prevalence of trichuriasis and a 26% reduction in the incidence of trichuriasis was found in a study performed on 890 children ages 7–14 years old within 24 different sentinel areas chosen to represent the varied environmental conditions throughout the city of Salvador, Bahia, Brazil.  Control of soil fertilizers has helped eliminate the potential for contact with human fecal matter and fertilizer in the soil.