Nongkynrih Baridalyne, Patro B K, Pandav Chandrakanta S
Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi--110 029.
J Assoc Physicians India. 2004 Feb;52:118-23.
India is going through a period of transition, both epidemiological and demographic transition. Infectious diseases are still persisting as major health problems in spite of having national programmes for the control of most of these diseases for almost half a century now. This paper focuses on two national programmes: the success story of the National Leprosy Eradication Programme; and the National Anti-Malaria Programme that has failed to achieve its objectives. There are re-emerging infectious diseases which are adding to the burden of diseases. In addition, there is an increasing prevalence of non-communicable diseases as a result of lifestyle changes and urbanization. These are the challenges that are to be tackled in the new millennium.
印度正在经历一个转型期,包括流行病学转型和人口结构转型。尽管印度已经实施了近半个世纪的国家计划来控制大多数此类疾病,但传染病仍然是主要的健康问题。本文重点关注两个国家计划:国家麻风病消除计划的成功案例;以及未能实现其目标的国家抗疟计划。新出现的传染病增加了疾病负担。此外,由于生活方式的改变和城市化,非传染性疾病的患病率也在上升。这些都是新千年需要应对的挑战。