Neglected zoonotic diseases-the long and winding road to advocacy.
Neglected zoonotic diseases-the long and winding road to advocacy.
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DOI：
10.1371/journal.pntd.0002800
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发表时间：
2014-06
影响因子：
3.8
通讯作者：
Welburn SC
中科院分区：
文献类型：
--
作者：
Mableson HE;Okello A;Picozzi K;Welburn SC
多年来对被忽视的热带病的宣传使世界关注这些穷人的疾病，最近的成果是2012年的"伦敦宣言"和2013年5月世界卫生大会关于热带病的WHA66.12号决议。控制被忽视的地方性人畜共患病将受益于类似的运动，这需要全球社会的支持。研究了1948年至2013年期间举行的所有66次世界卫生大会（WHA）会议的决议，以确定有多少决议包含了世界卫生组织（WHO）定义的以下八种NZD中的任何一种：炭疽、牛结核病、布鲁氏菌病、猪带绦虫囊尾蚴病、囊型包虫病（包虫病）、利什曼病、狂犬病和人畜共患的非洲锥虫病（HAT或昏睡病）。1948年至2013年期间，16个大会通过的21项决议针对这八种NZD中的一种或多种，占迄今为止通过的传染病决议总数的4%。2013年通过的针对所有17个NTD的WHA 66.12号决议标志着世界卫生大会改变了方法。以前的决议将NTD作为单独的实体，而合并决议的新方法将有助于加强将这些古老疾病作为流行国家的共同流行病群的总体势头。然而，三个主要的新零部件仍然在最近的决议之外：炭疽、布鲁氏菌病和牛结核病。最近在2013年世界卫生大会上通过了一项具体决议，强调采取"一个健康"办法成功控制17种NTD，这是宣传工作的一个重大进展。然而，尽管早在20世纪50年代就被世界卫生大会列为优先事项，但对流行国家的三种主要NZD-炭疽、布鲁氏菌病和牛结核病-对公共卫生的重要性的认识仍然缺乏。全球倡导控制NZD作为一个整体将同样受益于采取一个健康的方法，正如在WHA66.12下为NTD所提倡的那样。
Years of advocacy for the neglected tropical diseases (NTDs) have focused the world's attention on these diseases of the poor, resulting most recently in the 2012 “London Declaration” and the recent World Health Assembly Resolution WHA66.12 on NTDs in May 2013. Control of the endemic neglected zoonotic diseases (NZDs) would benefit from a similar campaign, which needs the support of a global community. The resolutions from all 66 World Health Assembly (WHA) meetings held between 1948 and 2013 were examined to determine how many contain a specific focus on any of the following eight NZDs as defined by the World Health Organisation (WHO): anthrax, bovine tuberculosis (TB), brucellosis, Taenia solium cysticercosis, cystic echinococcosis (hydatidosis), leishmaniasis, rabies, and zoonotic human African trypanosomiasis (HAT or sleeping sickness). Twenty-one resolutions adopted in the 16 assemblies between 1948 and 2013 targeted one or more of these eight NZDs, representing 4% of the total resolutions on infectious diseases passed to date. The 2013 adoption of Resolution WHA66.12 targeting all 17 NTDs marks a change in approach by the WHA. Whereas previous resolutions have targeted the NTDs as separate entities, the new approach of the combined resolution will help increase the overall momentum to target these ancient diseases as coendemic clusters in endemic countries. However, three major NZDs remain outside this recent resolution: anthrax, brucellosis, and bovine TB. The recent adoption of a specific resolution at the WHA in 2013 that emphasises a One Health approach for the successful control of 17 NTDs is a major development in advocacy. However, recognition of the importance of three major NZDs to public health in endemic countries—anthrax, brucellosis, and bovine tuberculosis—is still lacking despite being prioritised by the WHA as early as the 1950s. Global advocacy for control of the NZDs as a whole would similarly benefit from adoption of a One Health approach as is promoted for the NTDs under WHA66.12.