Kolaczinski Jan H, Kabatereine Narcis B, Onapa Ambrose W, Ndyomugyenyi Richard, Kakembo Abbas S L, Brooker Simon
Malaria Consortium Africa, Sturrock Road, PO Box 8045, Kampala, Uganda.
Trends Parasitol. 2007 Oct;23(10):485-93. doi: 10.1016/j.pt.2007.08.007. Epub 2007 Sep 7.
So-called 'neglected tropical diseases' (NTDs) are becoming less neglected, with increasing political and financial commitments to their control. These recent developments were preceded by substantial advocacy for integrated control of different NTDs, on the premise that integration is both feasible and cost-effective. Although the approach is intuitively attractive, there are few countrywide experiences to confirm or refute this assertion. Using the example of Uganda, this article reviews the geographical and epidemiological bases for integration and assesses the potential opportunities for, and operational challenges of, integrating existing control activities for several of these diseases under an umbrella vertical programme.
所谓的“被忽视的热带病”(NTDs)正受到越来越少的忽视,对其控制的政治和财政承诺不断增加。在这些最新进展之前,曾大力倡导对不同的被忽视的热带病进行综合控制,前提是综合控制既可行又具有成本效益。尽管这种方法从直观上看很有吸引力,但几乎没有全国范围的经验来证实或反驳这一论断。本文以乌干达为例,回顾了综合控制的地理和流行病学基础,并评估了在一个总体垂直项目下整合针对其中几种疾病的现有控制活动的潜在机遇和操作挑战。