Relative Burdens of the COVID-19, Malaria, Tuberculosis, and HIV/AIDS Epidemics in Sub-Saharan Africa.
Relative Burdens of the COVID-19, Malaria, Tuberculosis, and HIV/AIDS Epidemics in Sub-Saharan Africa.
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DOI：
10.4269/ajtmh.21-0899
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发表时间：
2021-10-11
期刊：
影响因子：
--
通讯作者：
Schultz Hansen K
中科院分区：
文献类型：
--
作者：
Bell D;Schultz Hansen K
COVID-19对全球产生了巨大影响;然而，在撒哈拉以南非洲，它是几个传染病优先事项之一。优先次序通常由疾病负担指导，但COVID-19和其他传染病的高度年龄依赖性使得比较具有挑战性，除非通过纳入生命年损失和健康状况不良的时间的指标进行考虑。因此，我们通过将已知的年龄相关死亡率应用于联合国对年龄结构的估计，比较了2020年撒哈拉以南非洲人口中疟疾、结核病和艾滋病毒/艾滋病的死亡率和残疾调整生命年损失估计，以及COVID-19负担超过12个月（截至2021年3月底）。我们进一步比较了根据COVID-19公共卫生应对措施预测的疾病负担加重情况。数据来自公共来源，预测的加重来自国际机构公布的数据。就南非以北的撒哈拉以南非洲人口而言，2020年录得的COVID-19死亡人数估计分别为结核病、艾滋病毒/艾滋病及疟疾死亡人数的3. 7%、2. 3%及2. 4%。这些疾病的预测恶化大于估计的COVID-19负担。包括南非和莱索托在内，COVID-19导致的死亡率低于其他可比疾病的12%;此外，可比疾病的死亡率在所有65岁以下年龄组中均占主导地位。该分析表明COVID-19的影响相对较低。虽然所有四种流行病都在继续，但结核病、艾滋病毒/艾滋病和疟疾的疾病负担使它们仍然是卫生方面的更大优先事项。因此，将资源转用于COVID-19带来了增加整体疾病负担和造成净伤害的高风险，从而进一步加剧了全球健康和预期寿命方面的不平等。
COVID-19 has had considerable global impact; however, in sub-Saharan Africa, it is one of several infectious disease priorities. Prioritization is normally guided by disease burden, but the highly age-dependent nature of COVID-19 and that of other infectious diseases make comparisons challenging unless considered through metrics that incorporate life-years lost and time lived with adverse health. Therefore, we compared the 2020 mortality and disability-adjusted life-years (DALYs) lost estimates for malaria, tuberculosis, and HIV/AIDS in sub-Saharan African populations with more than 12 months of COVID-19 burden (until the end of March 2021) by applying known age-related mortality to United Nations estimates of the age structure. We further compared exacerbations of disease burden predicted from the COVID-19 public health response. Data were derived from public sources and predicted exacerbations were derived from those published by international agencies. For sub-Saharan African populations north of South Africa, the estimated recorded COVID-19 DALYs lost in 2020 were 3.7%, 2.3%, and 2.4% of those for tuberculosis, HIV/AIDS, and malaria, respectively. Predicted exacerbations of these diseases were greater than the estimated COVID-19 burden. Including South Africa and Lesotho, COVID-19 DALYs lost were < 12% of those for other compared diseases; furthermore, the mortality of compared diseases were dominant in all age groups younger than 65 years. This analysis suggests the relatively low impact of COVID-19. Although all four epidemics continue, tuberculosis, HIV/AIDS, and malaria remain far greater health priorities based on their disease burdens. Therefore, resource diversion to COVID-19 poses a high risk of increasing the overall disease burden and causing net harm, thereby further increasing global inequities in health and life expectancy.
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DOI：
10.1016/j.ijid.2021.02.034
发表时间：
2021-04
期刊：
International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases
影响因子：
--
作者：
Echeverría G;Guevara Á;Coloma J;Ruiz AM;Vasquez MM;Tejera E;de Waard JH
通讯作者：
de Waard JH
DOI：
10.1016/s2214-109x(21)00053-x
发表时间：
2021-06
期刊：
The Lancet. Global health
影响因子：
--
作者：
Mulenga LB;Hines JZ;Fwoloshi S;Chirwa L;Siwingwa M;Yingst S;Wolkon A;Barradas DT;Favaloro J;Zulu JE;Banda D;Nikoi KI;Kampamba D;Banda N;Chilopa B;Hanunka B;Stevens TL Jr;Shibemba A;Mwale C;Sivile S;Zyambo KD;Makupe A;Kapina M;Mweemba A;Sinyange N;Kapata N;Zulu PM;Chanda D;Mupeta F;Chilufya C;Mukonka V;Agolory S;Malama K
通讯作者：
Malama K
Covid-19死亡率：面临有限适应边界的国家之间的脆弱性问题。
影响因子：
5.2
作者：
De Larochelambert Q;Marc A;Antero J;Le Bourg E;Toussaint JF
通讯作者：
Toussaint JF
DOI：
10.4269/ajtmh.20-1235
发表时间：
2021-01
期刊：
The American journal of tropical medicine and hygiene
影响因子：
--
作者：
Olayanju O;Bamidele O;Edem F;Eseile B;Amoo A;Nwaokenye J;Udeh C;Oluwole G;Odok G;Awah N
通讯作者：
Awah N
影响因子：
4.6
作者：
Jain A;Chaurasia R;Sengar NS;Singh M;Mahor S;Narain S
通讯作者：
Narain S