NTDs V.2.0: "blue marble health"--neglected tropical disease control and elimination in a shifting health policy landscape.

NTDs V.2.0: "blue marble health"--neglected tropical disease control and elimination in a shifting health policy landscape.
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NTDS v.2.0:“蓝色大理石健康” - 在改变健康政策格局中被忽视的热带疾病控制和消除。

DOI:
10.1371/journal.pntd.0002570
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发表时间:
2013-11
影响因子:
3.8
通讯作者:
Hotez PJ
Hotez PJ
中科院分区:
医学2区
文献类型:
--
作者:
Hotez PJ

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被忽视的热带病的概念是在千年发展目标之后确立的。在这里,我们总结了2010年后出现的几个新的全球卫生文件和政策,以及它们如何改变我们自首次强调以来对世界主要NTD的框架。这些文件包括一项新的《2010年全球疾病负担研究》,该研究将内脏利什曼病和食源性吸虫感染确定为预防性化疗最初针对的七种NTD以外的优先疾病,一项关于获得基本药物的伦敦宣言,以及2013年世界卫生大会关于NTD的决议。其他信息强调了新出现的登革热大流行。联合国关于妇女与非传染性疾病的新决议尚未包括NTD,而NTD实际上可能是女童和妇女最常见的疾病,是非传染性疾病的一个隐形原因。NTD对艾滋病毒/艾滋病和疟疾也有重要的直接和附带影响,现在有一个强大的证据基础和理由将NTD纳入全球抗击艾滋病、结核病和疟疾基金。“蓝色大理石健康”是一个额外的概念,它认识到生活在G20(二十国集团)和其他富裕国家的穷人中的NTD疾病负担是矛盾的,要求这些国家在疾病控制和研发方面承担更大的责任。随着2015年的到来,将全球消除NTD纳入新提出的可持续发展目标至关重要。
The concept of the neglected tropical diseases (NTDs) was established in the aftermath of the Millennium Development Goals. Here, we summarize the emergence of several new post-2010 global health documents and policies, and how they may alter the way we frame the world's major NTDs since they were first highlighted. These documents include a new Global Burden of Disease 2010 Study that identifies visceral leishmaniasis and food-borne trematode infections as priority diseases beyond the seven NTDs originally targeted by preventive chemotherapy, a London Declaration for access to essential medicines, and a 2013 World Health Assembly resolution on NTDs. Additional information highlights an emerging dengue fever pandemic. New United Nations resolutions on women and the non-communicable diseases (NCDs) have not yet embraced NTDs, which may actually be the most common afflictions of girls and women and represent a stealth cause of NCDs. NTDs also have important direct and collateral effects on HIV/AIDS and malaria, and there is now a robust evidence base and rationale for incorporating NTDs into the Global Fund to Fight AIDS, Tuberculosis, and Malaria. “Blue marble health” is an added concept that recognizes a paradoxical NTD disease burden among the poor living in G20 (Group of Twenty) and other wealthy countries, requiring these nations to take greater ownership for both disease control and research and development. As we advance past the year 2015, it will be essential to incorporate global NTD elimination into newly proposed Sustainable Development Goals.