Beyrer Chris, Villar Juan Carlos, Suwanvanichkij Voravit, Singh Sonal, Baral Stefan D, Mills Edward J
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.
Lancet. 2007 Aug 18;370(9587):619-27. doi: 10.1016/S0140-6736(07)61301-4.
Neglected diseases remain one of the largest causes of disease and mortality. In addition to the difficulties in provision of appropriate drugs for specific diseases, many other factors contribute to the prevalence of such diseases and the difficulties in reducing their burden. We address the role that poor governance and politically motivated oppression have on the epidemiology of neglected diseases. We give case examples including filariasis in eastern Burma and vector-borne diseases (Chagas' disease, leishmaniasis, and yellow fever) in Colombia, we show the links between systematic human rights violations and the effects of infectious disease on health. We also discuss the role of researchers in advocating for and researching within oppressed populations.
被忽视的疾病仍然是疾病和死亡的最大原因之一。除了为特定疾病提供适当药物存在困难外,许多其他因素也导致了这些疾病的流行以及减轻其负担的困难。我们探讨了治理不善和出于政治动机的压迫对被忽视疾病流行病学的影响。我们给出了一些案例,包括缅甸东部的丝虫病以及哥伦比亚的媒介传播疾病(恰加斯病、利什曼病和黄热病),展示了系统性侵犯人权行为与传染病对健康影响之间的联系。我们还讨论了研究人员在受压迫人群中进行倡导和研究的作用。