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1.
Infect Dis Poverty ; 10(1): 1, 2021 Jan 04.
Artigo em Inglês | MEDLINE | ID: mdl-33397494

RESUMO

With the coronavirus disease 2019 (COVID-19) pandemic showing no signs of abating, resuming neglected tropical disease (NTD) activities, particularly mass drug administration (MDA), is vital. Failure to resume activities will not only enhance the risk of NTD transmission, but will fail to leverage behaviour change messaging on the importance of hand and face washing and improved sanitation-a common strategy for several NTDs that also reduces the risk of COVID-19 spread. This so-called "hybrid approach" will demonstrate best practices for mitigating the spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) by incorporating physical distancing, use of masks, and frequent hand-washing in the delivery of medicines to endemic communities and support action against the transmission of the virus through water, sanitation and hygiene interventions promoted by NTD programmes. Unless MDA and morbidity management activities resume, achievement of NTD targets as projected in the WHO/NTD Roadmap (2021-2030) will be deferred, the aspirational goal of NTD programmes to enhance universal health coverage jeopardised and the call to 'leave no one behind' a hollow one. We outline what implementing this hybrid approach, which aims to strengthen health systems, and facilitate integration and cross-sector collaboration, can achieve based on work undertaken in several African countries.


Assuntos
/epidemiologia , Doenças Negligenciadas/epidemiologia , Doenças Negligenciadas/prevenção & controle , África/epidemiologia , Doenças Endêmicas , Saúde Global , Humanos , Higiene , Administração Massiva de Medicamentos/métodos , Morbidade , Pandemias , Equipamento de Proteção Individual , Saneamento , Clima Tropical , Medicina Tropical/métodos
2.
Infect Dis Poverty ; 10(1): 2, 2021 Jan 04.
Artigo em Inglês | MEDLINE | ID: mdl-33397510

RESUMO

BACKGROUND: The damage inflicted by the coronavirus diseases 2019 (COVID-19) pandemic upon humanity is and will continue to be considerable. Unprecedented progress made in global health over the past 20 years has reverted and economic growth has already evaporated, giving rise to a global recession, the likes of which we may not have experienced since the Second World War. Our aim is to draw the attention of the neglected tropical disease (NTD) community towards some of the major emerging economic opportunities which are quickly appearing on the horizon as a result of COVID-19. MAIN TEXT: This scoping review relied on a literature search comprised of a sample of articles, statements, and press releases on initiatives aimed at mitigating the impact of COVID-19, while supporting economic recovery. Of note, the donor scenario and economic development agendas are highly dynamic and expected to change rapidly as the COVID-19 pandemic unfolds, as are donor and lender priorities. CONCLUSIONS: The NTD community, particularly in low- and middle-income countries (LMICs), will need to work quickly, diligently, and in close collaboration with decision-makers and key stakeholders, across sectors at national and international level to secure its position. Doing so might enhance the odds of grasping potential opportunities to access some of the massive resources that are now available in the form of contributions from corporate foundations, trust funds, loans, debt relieve schemes, and other financial mechanisms, as part of the ongoing and future economic development agendas and public health priorities driven by the COVID-19 pandemic. This paper should serve as a starting point for the NTD community to seek much needed financial support in order to sustain and revitalize control and elimination efforts pertaining to NTDs in LMICs.


Assuntos
/economia , Doenças Negligenciadas/economia , Doenças Negligenciadas/epidemiologia , Status Econômico , Saúde Global , Humanos , Pandemias , Pobreza , Saúde Pública , Fatores de Risco , Clima Tropical , Nações Unidas , Organização Mundial da Saúde
4.
BMC Infect Dis ; 20(1): 919, 2020 Dec 03.
Artigo em Inglês | MEDLINE | ID: mdl-33272201

RESUMO

BACKGROUND: The highly complex and largely neglected Chagas disease (CD) has become a global health problem due to population movements between Latin America and non-endemic countries, as well as non-vectorial transmission routes. Data on CD testing and treatment from routine patient care in Germany of almost two decades was collected and analysed. METHODS: German laboratories offering diagnostics for chronic Trypanosoma cruzi (T. cruzi) infection in routine patient care were identified. All retrievable data on tests performed during the years of 2000-2018 were analysed. Additional clinical information regarding patients diagnosed with CD was collected through questionnaires. RESULTS: Five German laboratories with diagnostics for T. cruzi infection in routine patient care were identified. Centres in Hamburg and Munich offered two independent serological tests to confirm the CD diagnosis, as recommended by WHO during the entire time period 2000-2018. Overall, a total of n = 10,728 independent tests involving n = 5991 individuals were identified with a progressive increase in testing rates over time, only n = 130 (16.0%) of the tested individuals with known nationality came from CD endemic countries. Of all test units conducted at the included institutes, a total of n = 347/10,728 (3.2%) tests on CD were positive, of which n = 200/347 (57.6%) were ELISA, n = 133/347 (38.3%) IFT, n = 10/347 (2.9%) PCR, and n = 4/347 (1.2%) RDT. Of the n = 5991 individuals only n = 81 (1.4%) with chronic infection were identified, n = 52 females and n = 28 males. Additional clinical information could only be collected from n = 47. CONCLUSION: The results of this study give insight into the deployment of screening, detection, diagnosis, and treatment of T. cruzi over the last two decades in Germany and existing deficits therein; the creation of guidelines for Germany could be a step forward to improve the existing gaps.


Assuntos
Doença de Chagas/diagnóstico , Programas de Rastreamento/métodos , Trypanosoma cruzi/genética , Trypanosoma cruzi/imunologia , Adolescente , Adulto , Doença de Chagas/epidemiologia , Doença de Chagas/parasitologia , Doença de Chagas/terapia , Testes Diagnósticos de Rotina/métodos , Emigrantes e Imigrantes , Ensaio de Imunoadsorção Enzimática , Feminino , Seguimentos , Alemanha/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Negligenciadas/epidemiologia , Doenças Negligenciadas/parasitologia , Reação em Cadeia da Polimerase , Estudos Retrospectivos , Testes Sorológicos , Adulto Jovem
5.
Artigo em Inglês | MEDLINE | ID: mdl-33349204

RESUMO

Abstract: Laboratory-confirmed infection with Mycobacterium ulcerans is currently notifiable to health departments in several jurisdictions. Accurate surveillance is imperative to understanding current and emerging areas of endemicity and to facilitate research into a neglected tropical disease with poorly-understood transmission dynamics. The state of Victoria currently reports some of the highest numbers of M. ulcerans cases in the world each year, with 340 cases notified in 2018 (an incidence of 5.5 per 100,000 population). In May 2019, a group of clinical, laboratory and public health experts met to discuss a new case definition for the surveillance of M. ulcerans disease in Victoria, incorporating clinical and epidemiological elements. The new case definition supports important public health messaging and actions for residents and visitors to popular tourist areas in Victoria.


Assuntos
Úlcera de Buruli/diagnóstico , Úlcera de Buruli/epidemiologia , Doenças Negligenciadas/diagnóstico , Doenças Negligenciadas/epidemiologia , Vigilância da População , Úlcera de Buruli/patologia , Notificação de Doenças , Humanos , Incidência , Mycobacterium ulcerans/isolamento & purificação , Doenças Negligenciadas/patologia , Reação em Cadeia da Polimerase , Vitória/epidemiologia
9.
PLoS Negl Trop Dis ; 14(9): e0007956, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32881862

RESUMO

In 2018, the government of the Republic of Korea (ROK), South Korean life science companies, and a group of international funders led by the Bill & Melinda Gates Foundation launched a new and innovative funding agency to support neglected-disease research and development (R&D). The new venture is known as the Research Investment for Global Health Technology (RIGHT) Fund.


Assuntos
Tecnologia Biomédica/economia , Doenças Negligenciadas/prevenção & controle , Tecnologia Biomédica/organização & administração , Tecnologia Biomédica/tendências , Administração Financeira , Saúde Global/economia , Humanos , Doenças Negligenciadas/economia , Doenças Negligenciadas/epidemiologia , República da Coreia/epidemiologia
10.
PLoS Negl Trop Dis ; 14(9): e0008401, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32881881

RESUMO

BACKGROUND: Trachoma prevalence surveys, including impact surveys (TIS) and surveillance surveys (TSS), provide information to program managers on the impact of the SAFE (surgery, antibiotics, facial cleanliness, and environmental improvement) strategy and current burden of disease, and they provide a crucial component of the evidence base necessary for the validation of the elimination of trachoma as a public health problem. The prevalence surveys included in this analysis are multi-level cluster random surveys that provide population-based estimates for program planning. This study conducted an analysis of the cost of 8 rounds of TIS/TSS executed in Amhara, Ethiopia, 2012-2016, comprising 232,357 people examined over 1,828 clusters in 187 districts. METHODOLOGY AND FINDINGS: Cost data were collected retrospectively from accounting and procurement records from the implementing partner, The Carter Center, and coded by survey activity (i.e. training and field work) and input category (i.e. personnel, transportation, supplies, venue rental, and other). Estimates of staff time were obtained from The Carter Center Ethiopia. Data were analyzed by activity and input category. The mean total cost per cluster surveyed was $752 (standard deviation $101). Primary cost drivers were personnel (39.6%) and transportation (49.2%), with costs increasing in the last 3 rounds of TIS/TSS. CONCLUSION: Despite the considerable cost of conducting TIS and TSS, these surveys provide necessary information for program managers. Limited options are available to reduce the costs of TIS/TSS and gain economies of scale, as the surveys must be designed to achieve their designated sample size. However, surveys must also be designed in a way that is possible to be executed given the financial resources, personnel, and time required. Program managers can use these findings to improve estimates of the total cost of a survey and its components to ensure that sufficient resources are budgeted accordingly.


Assuntos
Saúde Pública/economia , Tracoma/economia , Custos e Análise de Custo , Etiópia/epidemiologia , Humanos , Doenças Negligenciadas/economia , Doenças Negligenciadas/epidemiologia , Doenças Negligenciadas/prevenção & controle , Prevalência , Estudos Retrospectivos , Tracoma/epidemiologia , Tracoma/prevenção & controle
12.
PLoS Negl Trop Dis ; 14(8): e0008498, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32785262

RESUMO

The global burden attributed to Neglected Tropical Diseases (NTDs) is 47.9 million Disability-Adjusted Life Years (DALYs). These diseases predominantly affect disadvantaged populations. Priority for NTDs has grown in recent years, which is observed by their inclusion in the sustainable development goals (SDGs). This study analyzed the process that allowed these diseases to be included on the global health policy agenda. This global policy analysis used the Shiffman and Smith framework to understand the determinants of global health political priority for NTDs. The framework comprises four categories: actor power, ideas, political contexts, and issue characteristics. Global documents and World Health Assembly (WHA) resolutions were examined, key-informant interviews were conducted, and academic publications were reviewed to understand the four categories that comprise the framework. A total of 37 global policy documents, 15 WHA resolutions, and 38 academic publications were examined. Twelve semi-structured interviews were conducted with individuals representing different sectors within the NTD community who have been involved in raising the priority of these diseases. This study found that several factors helped better position NTDs in the global health agenda. These include the leadership of actors that mobilized the global health community, the creation of a label combining these diseases as a group to represent a larger disease burden, the presence of mechanisms aligning the NTD community, and the agreement on ways to present the NTD burden and potential solutions. The process of building the priority of NTDs in the global health agenda shows that several determinants led to positive outcomes, but these diseases continue to have low priority at the global level which requires the implementation of actions to increase their global priority. These include sustaining the commitment of current actors and engaging new ones; increasing the attention given to diseases formerly categorized as "tool-deficient", including zoonotic NTDs; continue leveraging on policy windows and creating favorable policy moments to sustain commitment, as well as setting realistic targets. Findings from this study can help develop strategies to build the momentum and drive actions to implement the goals of the new Roadmap for NTDs in the pathway to universal health coverage (UHC) and sustainable development.


Assuntos
Saúde Global , Política de Saúde , Doenças Negligenciadas/epidemiologia , Doenças Negligenciadas/prevenção & controle , Humanos , Doenças Negligenciadas/economia , Organizações , Medicina Tropical , Organização Mundial da Saúde
13.
PLoS Negl Trop Dis ; 14(8): e0008251, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32853251

RESUMO

Yersinia pestis, the bacterial causative agent of plague, remains an important threat to human health. Plague is a rodent-borne disease that has historically shown an outstanding ability to colonize and persist across different species, habitats, and environments while provoking sporadic cases, outbreaks, and deadly global epidemics among humans. Between September and November 2017, an outbreak of urban pneumonic plague was declared in Madagascar, which refocused the attention of the scientific community on this ancient human scourge. Given recent trends and plague's resilience to control in the wild, its high fatality rate in humans without early treatment, and its capacity to disrupt social and healthcare systems, human plague should be considered as a neglected threat. A workshop was held in Paris in July 2018 to review current knowledge about plague and to identify the scientific research priorities to eradicate plague as a human threat. It was concluded that an urgent commitment is needed to develop and fund a strong research agenda aiming to fill the current knowledge gaps structured around 4 main axes: (i) an improved understanding of the ecological interactions among the reservoir, vector, pathogen, and environment; (ii) human and societal responses; (iii) improved diagnostic tools and case management; and (iv) vaccine development. These axes should be cross-cutting, translational, and focused on delivering context-specific strategies. Results of this research should feed a global control and prevention strategy within a "One Health" approach.


Assuntos
Doenças Negligenciadas/prevenção & controle , Peste/prevenção & controle , Yersinia pestis , Animais , Surtos de Doenças/prevenção & controle , Reservatórios de Doenças/microbiologia , Humanos , Insetos Vetores , Madagáscar/epidemiologia , Doenças Negligenciadas/epidemiologia , Peste/epidemiologia , Peste/transmissão , Roedores , Sifonápteros
14.
PLoS Negl Trop Dis ; 14(8): e0008600, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32853225

RESUMO

Helminth infections are among the World Health Organization's top neglected diseases with significant impact in many Less Economically Developed Countries. Despite no longer being endemic in Europe, the widespread presence of helminth eggs in archaeological deposits indicates that helminths represented a considerable burden in past European populations. Prevalence of infection is a key epidemiological feature that would influence the elimination of endemic intestinal helminths, for example, low prevalence rates may have made it easier to eliminate these infections in Europe without the use of modern anthelminthic drugs. To determine historical prevalence rates we analysed 589 grave samples from 7 European sites dated between 680 and 1700 CE, identifying two soil transmitted nematodes (Ascaris spp. and Trichuris trichiura) at all locations, and two food derived cestodes (Diphyllobothrium latum and Taenia spp.) at 4 sites. The rates of nematode infection in the medieval populations (1.5 to 25.6% for T. trichiura; 9.3-42.9% for Ascaris spp.) were comparable to those reported within modern endemically infected populations. There was some evidence of higher levels of nematode infection in younger individuals but not at all sites. The genetic diversity of T. trichiura ITS-1 in single graves was variable but much lower than with communal medieval latrine deposits. The prevalence of food derived cestodes was much lower (1.0-9.9%) than the prevalence of nematodes. Interestingly, sites that contained Taenia spp. eggs also contained D. latum which may reflect local culinary practices. These data demonstrate the importance of helminth infections in Medieval Europe and provide a baseline for studies on the epidemiology of infection in historical and modern contexts. Since the prevalence of medieval STH infections mirror those in modern endemic countries the factors affecting STH decline in Europe may also inform modern intervention campaigns.


Assuntos
Helmintíase/epidemiologia , Intestinos/parasitologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Animais , Anti-Helmínticos/uso terapêutico , Ascaríase/epidemiologia , Ascaríase/transmissão , Ascaris , Criança , Pré-Escolar , Europa (Continente)/epidemiologia , Feminino , Variação Genética , Helmintíase/tratamento farmacológico , Helmintíase/transmissão , Helmintos/genética , Humanos , Lactente , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Doenças Negligenciadas/epidemiologia , Nematoides , Prevalência , Solo/parasitologia , Toaletes , Tricuríase/epidemiologia , Tricuríase/transmissão , Trichuris , Adulto Jovem
15.
Trans R Soc Trop Med Hyg ; 114(10): 730-732, 2020 10 05.
Artigo em Inglês | MEDLINE | ID: mdl-32853370

RESUMO

Countries around the world are facing an enormous challenge due to the COVID-19 pandemic. The pressure that the pandemic inflicts on health systems could certainly impact on the care, control, and elimination of neglected tropical diseases (NTDs). From mid-January 2020, Ethiopia started to prepare for the prevention and treatment of COVID-19. The Federal Ministry of Health pledged to continue essential healthcare, including NTD care, during this pandemic. However, some hospitals have been closed for other healthcare services and have been turned into isolation and treatment centers for COVID-19. In addition to the healthcare facility measures, all community-based health promotion and disease prevention services have been stopped. The current shift in attention towards COVID-19 is expected to have a negative impact on NTD prevention and care.


Assuntos
Controle de Doenças Transmissíveis/organização & administração , Infecções por Coronavirus/epidemiologia , Doenças Negligenciadas/terapia , Pneumonia Viral/epidemiologia , Animais , Betacoronavirus , Erradicação de Doenças , Etiópia/epidemiologia , Programas Governamentais , Fechamento de Instituições de Saúde , Humanos , Doenças Negligenciadas/epidemiologia , Pandemias , Medicina Tropical
16.
PLoS One ; 15(8): e0237734, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32817681

RESUMO

BACKGROUND: Over the last decades, health systems worldwide have faced a decline in public trust. For marginalized minority populations, who generally suffer from poverty and political exclusion, the roots of this trend go much deeper, establishing a state of bi-directional distrust between them and health institutions. Although studied to a lesser extent compared to trust, distrust does impede health initiatives, such as infectious diseases prevention programs, mostly of so-called Neglected Zoonotic Diseases (NZDs). Where distrust prevails, even trust building actions such as defining rights and obligations, prioritizing "the greater good" and increasing transparency, are prone to failure. In this study, we deepen the understanding of the concept of distrust through a unique case study of Brucellosis, a prevalent bacterial zoonotic disease endemic to disadvantaged Bedouin communities in southern Israel. METHODS: In the years 2015-2019, we qualitatively studied socio-political aspects in a governmental Brucellosis control campaign in southern Israel. We used in-depth interviews with 38 governmental and private health workers, agriculture and nature preservation workers, livestock owners and community leaders. Further, we conducted participant observation in 10 livestock pens and in policymaking meetings, and collected policy and media documents in order to triangulate the results. RESULTS: We conceptualize three different types of distrust between authorities and marginalized communities-"intention-based distrust", "values-based distrust" and "circular distrust"-to better explain how distrust originates and reinforces itself, reproducing the endemicity of NZDs. Based on that, we portray a practical framework to reduce distrust in health policies, by reframing local discourses, reshaping disease monitoring schemes from enforcement-based to participation-based, and promoting political inclusion of disadvantaged communities. CONCLUSIONS: The suggested analysis and framework redirect health policy objectives to not only acknowledge, contain and reduce the consequences of distrust, but also to strive for societal justice as a tool for health promotion.


Assuntos
Brucelose/epidemiologia , Programas Governamentais , Política de Saúde , Zoonoses/epidemiologia , Animais , Árabes/psicologia , Brucelose/microbiologia , Feminino , Humanos , Relações Interpessoais , Israel/epidemiologia , Masculino , Doenças Negligenciadas/epidemiologia , Doenças Negligenciadas/microbiologia , Formulação de Políticas , Confiança/psicologia , Zoonoses/microbiologia
18.
Arq. ciências saúde UNIPAR ; 24(2): 105-111, maio-ago. 2020.
Artigo em Português | LILACS | ID: biblio-1116373

RESUMO

Este estudo analisou a bibliografia relacionada à hanseníase no Brasil, representada pela publicação de artigos científicos indexados na base de dados científica Web of Science, de 2000 a 2019. Por meio de análise bibliométrica, procurou-se delinear um panorama das produções científicas acerca do tema, identificando os autores, a evolução histórica do número de produções, as áreas de pesquisa que mais publicam, os tipos de artigos publicados e quais as agências financiadoras envolvidas nas publicações relacionadas ao tema. O corpus documental contou com 376 artigos completos, que demonstraram uma intensificação na produção de estudos sobre a hanseníase nos últimos anos, especialmente na área de Medicina Tropical, com predomínio de financiamento por agências brasileiras, e cuja maior fonte de publicações é uma revista científica internacional, dedicada ao estudo de doenças tropicais negligenciadas. Conclui-se que o interesse no estudo do tema se eleva com o passar dos anos, mas dentre as temáticas evidenciadas pela análise empreendida, as políticas públicas para controle e eliminação da doença, foram incipientes. Revela ainda a necessidade de maior aporte científico sobre a temática estimuladas por órgãos governamentais e que amplie as produções científicas por instituições de ensino e pesquisa, que possam alavancar reflexões direcionadas à implementação de diretrizes políticas efetivas para o controle e eliminação da doença.


This study analyzed the literature related to leprosy in Brazil, represented by the publication of scientific papers indexed in the Web of Science scientific database from 2000 to 2019. Through bibliometric analysis, the authors sought to delineate an overview of scientific productions on the topic, identifying the authors, the historical evolution of the number of productions, the areas of research that had most publications, the types of articles published and which funding agencies are involved in publications related to the topic. The documentary corpus consisted of 376 complete articles, which demonstrated an intensification in the production of studies on leprosy in recent years, especially in the area of Tropical Medicine, with a predominance of funding from Brazilian agencies, and whose largest source of publications is an international scientific journal dedicated to the study of neglected tropical diseases. It can be concluded that the interest in the study of the topic has increased over the years, but among the topics evidenced by the analysis undertaken, public policies for the control and elimination of the disease were incipient. It also reveals the need for greater scientific input on the topic stimulated by both government agencies and educational and research institutions, which can leverage reflections aimed at the implementation of effective political guidelines for the control and elimination of the disease.


Assuntos
Bibliometria/história , Política de Saúde/economia , Hanseníase/mortalidade , Política Pública/legislação & jurisprudência , Instituições Acadêmicas/estatística & dados numéricos , Doenças Negligenciadas/epidemiologia
19.
Niger Postgrad Med J ; 27(3): 184-189, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32687117

RESUMO

Background: The need to generate a robust epidemiological data on the neglected tropical diseases is imperative, in order to encourage access to formal care, drive public policies and ensure the allocation of resources by policy-makers. Objectives: The objective of this study was to determine the prevalence of soil-transmitted helminthiasis (STH) and its association with nutritional variables among primary school pupils living in urban slums in a South-Eastern sub-Saharan African city of Enugu, Nigeria. Methods: The stool samples of school-aged children living in urban slums were analyzed for ova of the helminths using the Kato-Katz methods, whereas the nutritional assessment (weight and height) was obtained and analyzed to indicate acute or chronic malnutrition. Degrees of helminthic load were then classified. The socioeconomic status was determined while the prevalence of STH and the relationship between it and the nutritional stratus was assessed to ascertain any significance between being malnourished and having STH as this will inform policy decisions. Results: There were a total of 371 analyzed stool samples from 228 females (61.5%) and 143 males (38.5%), with 285 (76.8%) from the lowest socioeconomic class. The prevalence of STH was 18.1%, while that of acute and chronic malnutrition were 3.3% and 7.5%, respectively. The intensity of infestation was, however, light, with the highest mean egg intensity of 74.4 ± 32.8 documented for ascariasis. There was no statistically significant association between the presence of STH and various indices of acute and chronic malnutrition (P > 0.05). Conclusion: STHs prevalence is high among children living in urban slums. Nutritional status was, however, not adversely affected by helminthic infestation.


Assuntos
Fezes/microbiologia , Helmintíase/epidemiologia , Enteropatias Parasitárias/epidemiologia , Doenças Negligenciadas/epidemiologia , Áreas de Pobreza , Solo/parasitologia , Animais , Criança , Estudos Transversais , Feminino , Helmintíase/diagnóstico , Humanos , Enteropatias Parasitárias/parasitologia , Masculino , Doenças Negligenciadas/microbiologia , Nigéria/epidemiologia , Estado Nutricional , Prevalência , Classe Social , População Urbana
20.
Infect Dis Poverty ; 9(1): 86, 2020 Jul 10.
Artigo em Inglês | MEDLINE | ID: mdl-32646512

RESUMO

Emerging and re-emerging zoonotic diseases represent a public health challenge of international concern. They include a large group of neglected tropical diseases (NTDs), many of which are of zoonotic nature. Coronavirus disease 2019 (COVID-19), another emerging zoonotic disease, has just increased the stakes exponentially. Most NTDs are subject to the impact of some of the very same human-related activities triggering other emerging and re-emerging diseases, including COVID-19, severe acute respiratory syndrome (SARS), bird flu and swine flu. It is conceivable that COVID-19 will exacerbate the NTDs, as it will divert much needed financial and human resources. There is considerable concern that recent progress achieved with control and elimination efforts will be reverted. Future potential strategies will need to reconsider the determinants of health in NTDs in order to galvanize efforts and come up with a comprehensive, well defined programme that will set the stage for an effective multi-sectorial approach. In this Commentary, we propose areas of potential synergies between the COVID-19 pandemic control efforts, other health and non-health sector initiatives and NTD control and elimination programmes.


Assuntos
Doenças Transmissíveis Emergentes/prevenção & controle , Infecções por Coronavirus/epidemiologia , Doenças Negligenciadas/prevenção & controle , Pneumonia Viral/epidemiologia , Medicina Tropical/métodos , Animais , Betacoronavirus , Doenças Transmissíveis Emergentes/epidemiologia , Infecções por Coronavirus/prevenção & controle , Saúde Global , Humanos , Colaboração Intersetorial , Doenças Negligenciadas/epidemiologia , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Alocação de Recursos , Medicina Tropical/tendências , Zoonoses/epidemiologia , Zoonoses/prevenção & controle
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