Surveillance and response: Tools and approaches for the elimination stage of neglected tropical diseases
Surveillance and response: Tools and approaches for the elimination stage of neglected tropical diseases
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DOI：
10.1016/j.actatropica.2014.09.017
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发表时间：
2015-01-01
期刊：
影响因子：
2.7
通讯作者：
Tanner, Marcel
中科院分区：
文献类型：
--
作者：
Bergquist, Robert;Yang, Guo-Jing;Tanner, Marcel
2012年1月，世界卫生组织(WHO)S介绍了被忽视的热带病(NTDS)路线图，这让人们乐观地认为，确实可以消除许多被忽视的热带病。为了实现这一目标，地方病流行、往往是低收入国家仍然背负着沉重的非传染性疾病负担，必须大力加强其卫生系统。特别是，它们不仅需要为治疗和传播控制应用经过验证的高度敏感的诊断工具和可持续的有效控制方法，而且还需要参与制定和使用监测-反应计划，以确保所取得的进展也得到巩固和持续。监测和公共卫生行动的后续行动将有助于有效实现世卫组织路线图所预期的到2020年实现疾病控制/消除目标。旨在通过地理空间和其他动态方法检测传播热点的风险测绘有助于在技术和政治层面上作出决策。因此，监测应被设想和发展为一种干预方法，同时作为地方性感染可能再次出现以及新的、迅速传播的流行病和流行病的早期预警系统。(C)2014爱思唯尔B.V.保留所有权利。
The presentation of the World Health Organization (WHO)'s roadmap for neglected tropical diseases (NTDs) in January 2012 raised optimism that many NTDs can indeed be eliminated. To make this happen, the endemic, often low-income countries with still heavy NTD burdens must substantially strengthen their health systems. In particular, they need not only to apply validated, highly sensitive diagnostic tools and sustainable effective control approaches for treatment and transmission control, but also to participate in the development and use of surveillance-response schemes to ensure that progress made also is consolidated and sustained. Surveillance followed-up by public health actions consisting of response packages tailored to interruption of transmission in different settings will help to effectively achieve the disease control/elimination goals by 2020, as anticipated by the WHO roadmap. Risk-mapping geared at detection of transmission hotspots by means of geospatial and other dynamic approaches facilitates decision-making at the technical as well as the political level. Surveillance should thus be conceived and developed as an intervention approach and at the same time function as an early warning system for the potential re-emergence of endemic infections as well as for new, rapidly spread epidemics and pandemics. (C) 2014 Elsevier B.V. All rights reserved.